Medical Journal of Dr. D.Y. Patil Vidyapeeth最新文献

{"title":"Erratum: Bhagavad Gita and Psychotherapy: Applications and Handling Concerns","authors":"","doi":"10.4103/mjdrdypu.mjdrdypu_626_24","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_626_24","url":null,"abstract":"","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"19 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848289","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":"Molecular Study of Viral Causes of Childhood Diarrhea in Western Maharashtra","authors":"Mahima Lall, R. M. Reddy, Yasmin Muhammed, Sourav Sen, R. Gupta","doi":"10.4103/mjdrdypu.mjdrdypu_846_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_846_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Although diarrheal diseases are highly preventable, they remain one of the leading causes of mortality and morbidity in the pediatric population in developing countries. Knowledge of etiological agents is essential to implement public health programs. Viral infections are the most common cause of acute infectious diarrhea among children. There is a paucity of information regarding viral enteropathogens responsible for diarrhea in India, as many hospitals do not routinely carry out diagnostic tests for viral detection.\u0000 \u0000 \u0000 \u0000 To estimate the prevalence of viral enteropathogens in children under five years of age presenting with acute diarrhea using real-time multiplex polymerase chain reaction (PCR) and its correlation with clinico-demographic features.\u0000 \u0000 \u0000 \u0000 A cross-sectional study was carried out in a tertiary care center in Maharashtra from January 2016 to June 2019. Our study included 300 children who were under five years old with acute diarrhea. Standard protocols were advocated for the collection and transportation of stool samples. All samples were subjected to real-time multiplex PCR (Light cycler 480 Roche) using Fast Track Diagnostic kits for viral gastroenteritis. Data analysis was done using descriptive and analytical methods.\u0000 \u0000 \u0000 \u0000 In our study, 57% of samples were positive for viral enteropathogens. Rotavirus (32%) was the most common isolate, followed by Norovirus Genogroup II (GII) (17%). The majority of pathogens were isolated from children less than 2 years of age.\u0000 \u0000 \u0000 \u0000 There is a need to test stool specimens of clinically confirmed diarrheal patients for enteric virus. This will avoid blind antibiotic treatment.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"2000 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852030","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":"Assessment of Learning Approaches of Final-Year Medical Students in Nigeria","authors":"O. Oguntoye","doi":"10.4103/mjdrdypu.mjdrdypu_201_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_201_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Approaches to learning can be broadly classified into three categories, namely deep approach, surface apathetic approach, and strategic approach.\u0000 \u0000 \u0000 \u0000 The aim of this study was to determine the learning approaches of final-year undergraduate medical students in Nigeria and to correlate them with their academic performance.\u0000 \u0000 \u0000 \u0000 This was a correlational study conducted among final-year (600-level) undergraduate medical students. The Approaches and Study Skills Inventory for Students (ASSIST) questionnaire was used for the study to determine the learning approaches of medical students.\u0000 \u0000 \u0000 \u0000 A total number of 100 final-year (600-level) undergraduate medical students participated in the study, of which 27 (27.0%) were males and 73 (73.0%) were females with a male-to-female ratio of 0.37 to 1. The age range of the respondents was 21 to 30 years with a mean (±SD) of 23.54 (±1.403). The strategic approach (40%) was the most predominant learning approach adopted by the medical students in this study followed by the deep approach (31%) and then the surface apathetic approach (29%). There is a significant positive correlation between the strategic approach and the self-rated academic progress of the students (P < 0.001). There is, however, no significant correlation between the academic progress of the students and the deep approach (P = 0.643) or the surface apathetic approach (P = 0.115).\u0000 \u0000 \u0000 \u0000 The strategic approach is the most predominant learning approach adopted by the final-year undergraduate medical students in this study with associated self-reported good academic performance. Appropriate study guidance should be provided to undergraduate medical students.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"2 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845218","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":"Food Insecurity and Its Associates in a Village of Budge Budge II Block, West Bengal: A Mixed-Methods Approach","authors":"Ankita Mishra, S. Dutta, Meghna Mukherjee, Vineeta Shukla, Ripan Saha, Mausumi Basu","doi":"10.4103/mjdrdypu.mjdrdypu_138_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_138_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Despite the enactment of Sustainable Development Goal (SDG) and National Food Security Act, food insecurity in India has been growing.\u0000 \u0000 \u0000 \u0000 This study aimed to estimate the current magnitude of food insecurity in a rural setting of West Bengal; to find out the association of food insecurity with the health and socio-demographic profile of the study population, if any; to explore their food situation and its various impacts on the study population; and to integrate the findings from the qualitative and quantitative strands.\u0000 \u0000 \u0000 \u0000 An observational study with a cross-sectional design using a mixed-methods approach was conducted in Muchisa. Two hundred and twelve households were selected through cluster random sampling for the quantitative strand. The participants were interviewed using a predesigned, pretested, and structured schedule from February 6–March 26, 2021. Qualitative data were collected from 10% of food-insecure households employing an in-depth interview guide. Statistical evaluation was done using Microsoft Office Excel 2007 and Statistical Package for the Social Sciences (SPSS) Version 25.0. The data were analyzed using Pearson’s Chi-square test, Cochran–Armitage trend test, ordinal logistic regression, and thematic analysis. A P value of <0.05 was considered significant.\u0000 \u0000 \u0000 \u0000 Food insecurity was observed in 62.9% of households. Noncommunicable diseases and psychological distress were associated with food insecurity. Qualitative data analysis revealed that the inability to cater to the needs of their children distressed the participants.\u0000 \u0000 \u0000 \u0000 Food insecurity is a major burden in rural Budge Budge II and is related to morbidity. The biggest obstacle in improving the food situation of rural people was their frame of mind to adjust to what they have in place of looking for possible solutions.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"10 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846437","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":"Comprehensive Treatment Adherence Scale for Diabetes Mellitus: The Need of the Hour","authors":"Vallari Jadav, Hetal Rathod, N. Borah, S. M. Vajjala","doi":"10.4103/mjdrdypu.mjdrdypu_112_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_112_23","url":null,"abstract":"","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851205","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":"Ferritin Levels among Hypertensive Disorders of Pregnancy in a Tertiary Care Hospital Setting: A Pilot Study","authors":"Mukul Sharma, Vedant Shekhar Jha, K. Bhatia, Pratibha Misra, Bhasker Mukherjee, Bidhan Roy","doi":"10.4103/mjdrdypu.mjdrdypu_614_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_614_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 According to a WHO report, the prevalence of anemia is the highest in children less than five years of age (40%) and pregnant women of the global population (37%). The prevalence of hypertensive disorders of pregnancy was 7.8% in India. 14% of maternal deaths are attributed to hypertensive disorders of pregnancy, according to a WHO report. Our study aimed to evaluate the variation of serum ferritin (SF) levels in four different groups: (1) normal pregnancy, (2) pregnancy with anemia, (3) pregnancy with hypertensive disorders, and (4) pregnancy with hypertensive disorders and anemia, to derive an association of SF in patients of anemia and hypertensive disorders of pregnancy.\u0000 \u0000 \u0000 \u0000 Thirty diagnosed cases of each predefined group of similar gestation were enrolled. A venous blood sample was collected from all subjects of all four groups for estimation of SF levels and hemoglobin levels.\u0000 \u0000 \u0000 \u0000 SF level was found to be significantly around twofold higher in groups 3 and 4 with hypertensive disorders of pregnancy (60.6 ± 27.5 μg/dL and 54.4 ± 26 μg/dL, respectively) compared to normal pregnancy and pregnancy with anemia (31.3 ± 25 μg/dL and 23.3 ± 21.6 μg/dL, respectively). Hence, the Kruskal–Wallis test was conducted for four groups, and it was statistically significant.\u0000 \u0000 \u0000 \u0000 In our study, pregnant women with anemia had lower SF levels than normal pregnancy cases. However, in group 4 with hypertensive disorders of pregnancy with anemia SF levels were higher than group 2.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851272","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":"The Association of Brixia Scoring with the Clinical Severity and Need for Invasive Ventilation in Covid-19 Pneumonia Patients - A Prospective Cross-sectional Study","authors":"Ashok Narayan, Debraj Sen, J. Reshma, Praveen Kumar, Rahul Goel, Anurag Garg, Brig P. K. Dhagat","doi":"10.4103/mjdrdypu.mjdrdypu_285_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_285_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 Imaging is essential for managing COVID-19 pneumonia. In resource-limited settings, chest radiography is the only practicable imaging modality. The Brixia radiographic scoring system, an objective method of assessing pulmonary involvement, is yet to be studied in India. (a) To study the association between the clinical severity of COVID-19 patients with their Brixia scores and, (b) to evaluate the utility of the score as a predictor for invasive ventilation. Peripheral rural hospital by Indian Armed Forces; Cross-sectional study. A thousand patients diagnosed with COVID-19 and hospitalized were classified as having a mild, moderate, and severe disease based on their least oxygen saturation (SpO2 >94: mild, between 90-94: moderate, and <90: severe) recorded. The highest Brixia score was calculated for each patient. The mean Brixia scores of the three groups were compared. The Brixia score of each intubated patient was calculated as was the mean score of all intubated patients. Statistical analysis was performed on SPSS software. Seven hundred fifty-six (756) patients were classified as mild, 104 as moderate, and 140 as severe with a mean Brixia score of 0.12, 2.35, and 10.9, with a standard deviation of 0.66, 2.98, and 2.66, respectively. The difference in means between these groups was statistically significant (p < 0.0001). The median Brixia score of 13 for the intubated patients was significantly higher than for the non-intubated. The clinical severity of the patients and their requirement for invasive ventilation correlated well with their Brixia scores. The Brixia system may be usefully incorporated into our Medicare systems.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"112 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842296","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":"Study of Tone Burst Brainstem Auditory Response among Preterm Infants","authors":"Ankita Rana, J. Banerjee, Julfa Khatun, B. Mukhopadhyay","doi":"10.4103/mjdrdypu.mjdrdypu_26_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_26_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 It is well recognized that hearing deficit is a severe consequence of prematurity. Premature infants have many concomitant risk factors, which influence the occurrence of hearing deficit. Hearing impairment if not detected within first 6 months of life has an important consequence for language acquisition, communication and cognitive, social and emotional development. To quantify audiometric contour and to detect high-frequency hearing loss, tone burst BERA is more beneficial for the preterm infants.\u0000 \u0000 \u0000 \u0000 The aim of the present study was to detect the hearing impairment among the preterm infants.\u0000 \u0000 \u0000 \u0000 The present study was carried out at the Department of Physiology, at R. G. Kar Medical College and Hospital on 40 preterm infants and 30 age- and sex-matched term infants from February 2020 to January 2021. BERA testing was performed with the machine Neuro-MEPNET (version 3), Neuro-soft, Russia. The responses were recorded, and statistical analysis was performed with SPSS software version 20.\u0000 \u0000 \u0000 \u0000 Out of 40 preterm infants, 34 (85%) infants showed abnormality in Latency in one or both ears. The major abnormalities were absence of wave V or increase in wave V latency at 70 dB in both the ears. From our study, it was also found that there was statistically significant increase in the hearing threshold of both the ears of the preterm infants compared to term infants.\u0000 \u0000 \u0000 \u0000 We can infer from the present study that there is significant delayed maturation of auditory pathway in the form of BAEP abnormalities among the preterm infants.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"104 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842573","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":"Use of Neutrophil-to-Lymphocyte Ratio and Red Cell Distribution Width as an Adjuvant in Assessing Left Ventricular Systolic Function in Patients with Acute Myocardial Infarction","authors":"B. J. Subhashchandra, R. Shivaswamy, S. Shreyas, H. S. Kiran","doi":"10.4103/mjdrdypu.mjdrdypu_298_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_298_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Atherosclerosis is a multifactorial disease and the major cause of cardiovascular disease that still accounts for most of the mortality worldwide. The role of inflammation in the development and progression of atherosclerosis has been clarified, and several biological markers of inflammation predict cardiovascular risk. Red cell distribution width (RDW) and neutrophil-to-lymphocyte ratio (NLR) are the two markers of inflammation that are used to determine risk of mortality and adverse cardiovascular outcomes in patients with acute myocardial infarction (AMI).\u0000 \u0000 \u0000 \u0000 To study the left ventricular systolic function in patients with AMI in relation to neutrophil to-lymphocyte ratio, RDW, and hs-CRP.\u0000 \u0000 \u0000 \u0000 An observational study was done on patients with AMI-ST-elevation myocardial infarction (STEMI) admitted to the hospital. On admission, Electrocardiogram (ECG) was noted, and blood was drawn for a complete hemogram, hs-CRP, cardiac enzymes, and renal function test (RFT). Point of care Echocardiography (ECHO) was obtained along with post-primary percutaneous coronary intervention (PCI) ECHO.\u0000 \u0000 \u0000 \u0000 In a study involving 100 patients, the mean age was 57.61 ± 13.151 years. The highest number of patients fell in the age group of 61 to 70 years (33%), followed by 51 to 60 years (22%). The study consisted of 76% males. Echocardiography revealed that 9% had normal ejection fraction, 57% had mild left ventricular dysfunction, 22% had moderate dysfunction, and 12% had severe dysfunction. Analysis showed that there is a strong negative correlation between ejection fraction (EF) and NLR (P < 0.001), as well as between EF and RDW (P < 0.001) in patients with STEMI. However, there was no significant correlation between EF and hs-CRP (P = 0.514).\u0000 \u0000 \u0000 \u0000 Our findings suggest that higher NLR and RDW levels, in patients with first STEMI are associated with higher degree of left ventricular systolic dysfunction.\u0000","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"98 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843801","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":"Neurological Manifestations of Snakebite Envenoming","authors":"J. Rissardo, A. Caprara","doi":"10.4103/mjdrdypu.mjdrdypu_382_23","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_382_23","url":null,"abstract":"","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"24 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846081","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}