Journal of Medical Evidence最新文献_第6页

Cascade concept: Situations where an unexpected finding can lead to inappropriate handling in neurocritical care 级联概念:在神经危重症护理中，意外发现可能导致处理不当的情况

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_22_22

Tariq Janjua, A. Agrawal, Hefzi Montaño-Bayona, L. Moscote-Salazar

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Doctor G: Trying to break medical gender stereotypes in India – Well, almost 医生G:试图打破印度医学界对性别的刻板印象——嗯，差不多了

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_37_23

J. Rahul, Shreya Adhikari

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Elephant attack survivor - A case report with review of literature 大象袭击幸存者个案报告及文献回顾

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_36_21

Awaneesh Katiyar, Ajay Mahaputra Kumar

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Study of coverage and barriers of immunisation among children of age 12–23 months in urban areas of Rishikesh 里希凯什城市地区12-23个月儿童免疫接种覆盖率和障碍研究

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_99_22

T. Asha, Mahendra Singh, P. Aggarwal, Nandita Sharma, Ajun Narayanan, M. Anjali, R. Namitha

{"title":"Study of coverage and barriers of immunisation among children of age 12–23 months in urban areas of Rishikesh","authors":"T. Asha, Mahendra Singh, P. Aggarwal, Nandita Sharma, Ajun Narayanan, M. Anjali, R. Namitha","doi":"10.4103/jme.jme_99_22","DOIUrl":"https://doi.org/10.4103/jme.jme_99_22","url":null,"abstract":"Background: Ensuring high immunisation coverage and its acceptance among the beneficiaries are crucial for a healthy society. Hence, this study aimed to estimate vaccine coverage and barriers of immunisation among children of age 12–23 months in urban areas of Rishikesh, Uttarakhand. Aims: To estimate the immunization coverage rate among children of age 12-23 months in urban area of Rishikesh. Objectives: To identify the barriers towards immunization in children of age 12-23 months in urban area of Rishikesh. Materials and Methods: A community-based cross-sectional study was done in urban areas of Rishikesh for 1 year, including 210 children, using the WHO's 30 × 7 cluster sampling technique to collect data on immunisation status. Results: About 92% of the children were fully immunised. Bacillus Calmette–Guérin has the highest coverage rate (99.5%), whereas the coverage was the lowest for the measles vaccine (93.8%). Full immunisation coverage was found to be statistically significant with the education of the respondent, socio-economic status (SES) of the family and birth order of the child. Additional vaccines uptake showed a significant association between SES of the family and the place of vaccination. Conclusion: There were significant variations in childhood immunisation coverage across socio-economic and demographic factors. These findings emphasize on the need for regular monitoring and evaluation of immunisation coverage to achieve the benefits of vaccination in all strata of society.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"84 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":"133328020","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

Cochrane India and evidence synthesis Cochrane印度和证据合成

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_36_23

Meenu Singh, A. Pradhan

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A giant duodenal adenoma 巨大的十二指肠腺瘤

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_152_22

S. Jena, A. Yadav, S. Nundy

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High altitude/trauma emergency training for medical personnel deployed at medical facility on chardham yatra route 对部署在查德姆亚特拉路线医疗设施的医务人员进行高空/创伤急救培训

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_142_22

Latika Mohan, J. Pant

引用次数: 0

A community-based cross-sectional study on out-of-pocket expenditure for coronavirus disease patients in urban slums, Bengaluru Rural 班加罗尔农村城市贫民窟冠状病毒病患者自付费用的社区横断面研究

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_128_22

D. S. Sunil Kumar, Lakshmi Hulugappa, R. Vidya, S. Manjula

{"title":"A community-based cross-sectional study on out-of-pocket expenditure for coronavirus disease patients in urban slums, Bengaluru Rural","authors":"D. S. Sunil Kumar, Lakshmi Hulugappa, R. Vidya, S. Manjula","doi":"10.4103/jme.jme_128_22","DOIUrl":"https://doi.org/10.4103/jme.jme_128_22","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has caused unprecedented harm to humanity and economies worldwide. A study of economic impact of COVID-19 patients in urban slums is limited. Aims: Hence, this study was undertaken to estimate the out-of-pocket expenditure (OOPE), and compare amongst admissions in public and private hospitals and home isolation of COVID-19 patients. Patients and Methods: A community-based cross-sectional study was conducted in urban slums under the urban field practice area of a medical college between September 2021 and November 2021. Data from 108 COVID-19 patients were collected by a pre-tested semi-structured questionnaire by interview method. Results: The mean age of respondents was 41.99 ± 10.49. The most common symptom was fever 91.6%, followed by cough 69.4%. History of travel was present in 64% and contact with family member was 69%. The mean OOPE for COVID-19 disease was 36756 INR per patient. Overall, the mean direct cost for COVID-19 admission was 29143 INR and mean indirect cost was 7529.62 INR. On applying Krushkal Wallis test, OOPE for direct cost on COVID-19 patient hospital admission, lab investigations, medications was H=65.85, 53.52, 28.98 with P value< 0.05 respectively and was found statististically significant. Similarly for Indirect cost , Loss of wages, travel expenses of the patient and attenders was H=10.45, 31.23 respectively and was found to be statistically significant at P <0.05. Overall the mean direct cost with government, private, home isolation COVID-19 patients was highly significant χ2 = 33.92, P = 0.000, and mean indirect cost χ2 = 9.48, P = 0.002. Conclusions: The OOPE for COVID-19 disease was high. The direct and indirect cost in government facility was minimal. The government's timely response to the pandemic was able to reduce the costs to the patients or else the economic burden would be higher.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"117 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":"134471333","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

Knowledge regarding breast cancer and breast self-examination amongst urban females of North India: A cross-sectional study 印度北部城市女性乳腺癌知识和乳房自我检查:一项横断面研究

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_115_22

P. Bansal, A. Chaudhary, Sangeeta Girdhar, Tiber Jain, Dr. Sarit Sharma, Mahesh Satija, V. Gupta, Pranjl Sharma, S. Singh

{"title":"Knowledge regarding breast cancer and breast self-examination amongst urban females of North India: A cross-sectional study","authors":"P. Bansal, A. Chaudhary, Sangeeta Girdhar, Tiber Jain, Dr. Sarit Sharma, Mahesh Satija, V. Gupta, Pranjl Sharma, S. Singh","doi":"10.4103/jme.jme_115_22","DOIUrl":"https://doi.org/10.4103/jme.jme_115_22","url":null,"abstract":"Introduction: In this era of epidemiological transition where noncommunicable diseases are on a significant rise, cancer is a major public health problem globally. Out of all cancers, breast cancer is the most common female cancer worldwide. Aim: To determine the knowledge of breast cancer and its risk factors and breast self-examination (BSE) practice amongst urban women of North India. Patients and Methods: A cross-sectional study was carried out amongst 370 women aged between 20 and 60 years of age using pretested self-administered questionnaire. The collected information was entered into Microsoft Excel sheet and analysed using SPSS. Results: Mean age of the study participants was 40.3 ± 12.1 years and majority of the study participants (87%) were married. It was seen that the proportion of women who were aware increased as their literacy status increased, and this was statistically significant (P = 0.00). About 18.4% of the participants were aware regarding BSE. The most mentioned reason for not practicing BSE amongst those who were aware was that they considered themselves healthy (63.2%). Conclusions: In the current study, half of the women were aware of breast cancer and few were aware of BSE and very few were practicing BSE. It was seen that women with a higher level of education had better knowledge regarding breast cancer than women with low educational status. For the prevention of breast cancer, women are the most important stakeholder. There is a need to sensitise women regarding risk factors of breast cancer and preventive practices like BSE.","PeriodicalId":251651,"journal":{"name":"Journal of Medical Evidence","volume":"88 25 Pt 1 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":"126312940","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 management of chronic kidney disease in India: Where are we going wrong? 印度慢性肾脏疾病的管理:我们错在哪里?

Journal of Medical Evidence Pub Date : 2023-01-01 DOI: 10.4103/jme.jme_29_23

M. Mani

引用次数: 0