Chettinad Health City Medical Journal最新文献

{"title":"Best Mass Vaccination Model, Seattle, USA","authors":"Rathinasamy M","doi":"10.24321/2278.2044.202361","DOIUrl":"https://doi.org/10.24321/2278.2044.202361","url":null,"abstract":"How to cite this article:Devi. SS, Rathinasamy M, Rajulin R, Nirala S. BestMass Vaccination Model, Seattle, USA. ChettinadHealth City Med J. 2023;12(3):1-2. DOI: https://doi.org/10.24321/2278.2044.202361","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127190","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 of Quality of Life of Mothers Having Children with Special Needs","authors":"Arun Kumar","doi":"10.24321/2278.2044.202345","DOIUrl":"https://doi.org/10.24321/2278.2044.202345","url":null,"abstract":"Introduction: Even though there is more and more written about thequality of life of mothers and families with disabled children, most ofsuch studies have been done in Western countries. In India, little hasbeen studied about the quality of life of mothers of disabled children.This study is aimed to understand the quality of life of mothers whohave children with intellectual disability (ID) or locomotor disability(LD). Families caring for disabled children encounter unique obstaclesand responsibilities compared to those caring for children withoutdisabilities.Method: In this scientific study, 300 mothers (100 mothers havingchildren with intellectual disability, 100 mothers having children withlocomotor disability, and 100 mothers having normal children) wereselected from northern India. The WHO Quality of Life Brief Tool wasadministered to assess the quality of life in variables; the scale hasfour domains with 26 items.Results: The result of the study showed that the F value for qualityof life in mothers of intellectually disabled children, children withlocomotor disabilities and normal children, the F value for quality oflife was 203.774 which was significant at 0.001 levels of significance.Conclusion: This shows that there is a significant difference in the levelof quality of life among the group of mothers of normal children andchildren with intellectual and locomotor disabilities. How to cite this article:Kumar A, Singh KK. Study of Quality of Life ofMothers Having Children with Special Needs.Chettinad Health City Med J. 2023;12(3):21-25. DOI: https://doi.org/10.24321/2278.2044.202345","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127338","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":"Loratadine-loaded Niosomal Transdermal Patch for Treating Allergic Issues: A Design Expert’s Associated Fabrication and Evaluation","authors":"Charan Sailaja","doi":"10.24321/2278.2044.202354","DOIUrl":"https://doi.org/10.24321/2278.2044.202354","url":null,"abstract":"Introduction: Loratadine (LRD) is a second-generation H1 histamineantagonist and is helpful in the treatment of allergies.Methods: The Box Behnken design (BBD) was used in this study tocreate nine LRD niosomes, which were then cast in solvent and put ontransdermal patches. The niosomes’ dimensions, shape, zeta potential,and degree of entrapment efficiency were then assessed. On the LRDentrapment, the niosomes’ cholesterol, Span-40, Span-60, and Span-80concentrations were measured. The patch system was filled with theoptimised niosomal formulations. Then, each patch was described using itsphysicochemical properties and results from in vitro permeation studies.Results: Patches containing niosomal vesicles, in contrast to controlpatches, demonstrated improved drug release. It was shown thatniosomal patches exhibited greater penetration than control patches.Niosomes’ surfactant serves as a permeation enhancer and enhancesLRD permeation from niosomes.Conclusion: The study concluded that the niosome-based transdermalpatches might effectively distribute LRD medications trans-dermallywhile minimising GIT adverse effects. How to cite this article:Sailaja C, Bhupalam PK. Loratadine-loadedNiosomal Transdermal Patch for Treating AllergicIssues: A Design Expert’s Associated Fabricationand Evaluation. Chettinad Health City Med J.2023;12(3):69-78. DOI: https://doi.org/10.24321/2278.2044.202354","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127516","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":"Effectiveness of Balloon-blowing Exercises and Incentive Spirometry in Chest Intubated Patients","authors":"Patil P","doi":"10.24321/2278.2044.202350","DOIUrl":"https://doi.org/10.24321/2278.2044.202350","url":null,"abstract":"Objective: The present study was done to compare the impact ofballoon-blowing exercises (BBE) with incentive spirometry in chestintubated patients of the older age group and to compare their efficacyin improving chest expansion as well as peak expiratory flow rate (PEFR).Methodology: A sample size of 30 patients was calculated. 15 participantswere allotted to Group A and 15 to Group B with the simple randomsampling technique. Data were obtained at the beginning of the sessionand at the end of the 4th week post-exercise session using an inchtape and a peak flow meter. Group A carried out regular respiratoryphysiotherapy and incentive spirometry whereas, Group B carried outregular respiratory physiotherapy and BBE in chest intubated patients.Results: The results showed that the post-test statistical values in theexperimental group were greater than those in the control group,implying that routine physiotherapy treatment along with BBE has asignificant difference in the positive effect on outcome measures inthe study population.Conclusion: Based on the analysis of the results obtained, the presentstudy concluded that balloon-blowing exercises and regular chestphysiotherapy treatment were more effective in improving chestexpansion and PEFR as compared to incentive spirometry and respiratoryphysiotherapy to overcome postoperative pulmonary complicationsin chest intubated patients of the older age group. How to cite this article:Darekar S, Poonam P. Effectiveness of BalloonblowingExercises and Incentive Spirometry inChest Intubated Patients.Chettinad Health CityMed J. 2023;12(3):45-49. DOI: https://doi.org/10.24321/2278.2044.202350","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127518","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 Attitude and Awareness Towards Preventive Dentistry among Parents of Anganwadi Children in Chennai - A Cross-Sectional Study","authors":"N Vignesh","doi":"10.24321/2278.2044.202347","DOIUrl":"https://doi.org/10.24321/2278.2044.202347","url":null,"abstract":"Background: Usually, parents are less aware that preventive oralhealth and dental procedures may have an impact on the generalhealth and well-being of the children. Parental negligence may resultin unfavourable dental and general health consequences. Parentalknowledge of preventive measures towards oral health is importantfor proper oral hygiene maintenance, control of caries, care of primaryteeth in children.Aim: To analyse the attitude and awareness towards preventive dentistryamong parents of Anganwadi children in Chennai.Methodology: This was a questionnaire-based cross-sectional studyconducted among 316 participants. The study included the parentsof Anganwadi children residing in Zone-4 Chennai. A questionnairewas prepared and distributed to seven Anganwadi centres which wasthen given to participants and responses were collected after twodays. The data were collected systematically and analysed using theSPSS software version 20.Results: 316 study subjects participated in the study. The study revealeda significant difference statistically in knowledge, attitude and awarenessamong parents in various categories. About 81% of the participantswere aware that sugar and sugar-containing diet can cause dental decaywhereas, only 25% of them had the understanding that fluorides canhelp prevent dental decay.Conclusion: Awareness about preventive dental practices such as theappropriate duration of brushing, the influence of dietary sugars ondental decay, the impact of oral health on the general health of childrenexisted among the parents. At the same instant, participants were foundto be less aware of the role of fluorides in caries control, eruption timeof permanent dentition, timely dental visits and trauma care. How to cite this article:Swetha RK, Vignesh N, Ganesh R, SelvamaniB, Sasikala M. Assessment of Attitude andAwareness Towards Preventive Dentistry amongParents of Anganwadi Children in Chennai - ACross-Sectional Study. DOI: https://doi.org/10.24321/2278.2044.202347","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127519","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":"Group Reminiscence as an Effective Intervention for Cognitive Impairment among Rural Older Adults in South India: A Randomised Controlled Trial","authors":"Varalakshmi Manchana","doi":"10.24321/2278.2044.202353","DOIUrl":"https://doi.org/10.24321/2278.2044.202353","url":null,"abstract":"Background: Early identification of cognitive impairment and adoptingmeasures to promote cognitive health is essential for a better qualityof life. Reminiscence is a psychosocial intervention and is one of theeffective non-pharmacological interventions to promote cognitive healthin older adults. The present study aims to investigate the effectivenessof group reminiscence among older adults.Methods: The present study was a single-blind randomised controlledtrial (RCT) conducted in Telangana, India. A total of 130 older adults,aged 60 years and above, who met the inclusion criteria were recruitedin the study. Of these adults, 65 subjects each were randomly assignedto experimental and control groups. The data were collected usingthe mental status examination. The experimental groups received agroup reminiscence for 12 weeks. The data were analysed using theSPSS-25 version.Results: The findings of the study highlight the effectiveness ofreminiscence as demonstrated in the improvement in the experimentalgroup (Z = -5.47, p < 0.01). The pre-post mean difference of the cognitivefunctions between the groups was analysed; the Z value was -6.174,p value was less than 0.01, and the effect size was -0.54, indicating alarge difference due to the group reminiscence intervention.Conclusion: The study findings highlight the effectiveness of the groupreminiscence intervention in promoting cognitive functioning amongolder adults. Given the substantial growth of the ageing populationin countries like India, where nurses play a critical role in the primaryhealthcare system, the study supports the need for equipping primaryhealthcare professionals with non-pharmacological interventions likegroup reminiscence to promote cognitive and mental health in theelderly population. How to cite this article:Talagathoti DRP, Manchana V. GroupReminiscence as an Effective Intervention forCognitive Impairment among Rural Older Adultsin South India: A Randomised Controlled Trial.Chettinad Health City Med J. 2023;12(3):62-68. DOI: https://doi.org/10.24321/2278.2044.202353","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127341","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":"An Update on Risk Factors for Coronary Heart Disease and Dietary Recommendations for Treatment and Prevention","authors":"KR Padma","doi":"10.24321/2278.2044.202359","DOIUrl":"https://doi.org/10.24321/2278.2044.202359","url":null,"abstract":"Globally, cardiovascular disease (CVD) is the number one cause of deathand disability. Knowing the CVD risk factors could provide crucial insightsinto how to handle this major public health issue and comprehend itsgenesis. Many clinical illnesses are linked to autonomic imbalance,which is defined by an overactive sympathetic and an underactiveparasympathetic nervous system. Many hereditary and behaviouralvariables influence the likelihood of getting coronary heart disease(CHD). The CHD threat issues have an idiopathic origin, which suggeststhat the illness may pass down through generations as a result of geneticvariance. Two further probable causes of CHD include autonomicdysfunction and the Omega-3 Index. Although dietary modification isa key component of CVD prevention, the implementation of nutritionscience in clinical practice is constrained due to a dearth of formaleducation in the discipline. The precise elements of a heart-healthydiet, scientifically supported dietary recommendations, the effect ofnutrition on the management and prevention of CVD risk factors areall subjects covered in this article. Its objective is to update the bodyof information on these emerging approaches (in vitro, translational,animal, clinical) and to explain the rationale behind their possible usein the treatment of CAD. These novel therapeutics have the potential tosuccessfully replace current therapeutic modalities. Our report providessignificant updates on the ongoing scientific and medical work beingdone around the world. How to cite this article:Padma KR, Don KR, Dinesh B, KarthikeyanD, Vaishnavi M. An Update on Risk Factorsfor Coronary Heart Disease and DietaryRecommendations for Treatment and Prevention.Chettinad Health City Med J. 2023;12(3):105-114. DOI: https://doi.org/10.24321/2278.2044.202359","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127193","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":"Magnitude and Burden of Deliberate Self-harm (Poisoning) Cases in SKIMS Soura - A Prospective Study in A Tertiary Care Hospital","authors":"Mohd Iqbal Dar","doi":"10.24321/2278.2044.202355","DOIUrl":"https://doi.org/10.24321/2278.2044.202355","url":null,"abstract":"Introduction: Some of the drugs, like benzodiazepine, tricyclicantidepressants, etc. that are used on a daily basis for the treatmentof various diseases become poisonous only when they are used in higherconcentrations or in bulk quantities deliberately in order to induce someother effect for which the drug is not actually prescribed or advised.Methods: The main aim of this study was to get an estimate of themagnitude and burden of poisoning cases in SKIMS Soura (a tertiarycare hospital in Jammu and Kashmir). A prospective study was doneusing a quantitative research approach in the year 2019–2020. Purposivesampling was done. The sample size was calculated to be 40.Results: The results of the present study depicted that 45% ofparticipants were male and 55% were female. The maximum numberof subjects (37.5%) belonged to the age group of 21–30 years. A historyof depression/ suicidal tendencies was seen in 37.5% of subjects. Thestudy revealed that 65% of study subjects had consumed OP compounds.The majority (65%) of the study subjects received PAM as an antidotefor poisoning. Most (36) of the subjects complained of abdominal painand it was found that 72.5% of the study subjects had consumed poisondeliberately with the intention of suicide. Out of the total (40) studysubjects, only 2 (5%) deaths occurred, of which 1 was male and 1 wasfemale. The death percentage for male study subjects was 5.55% andfor females, the death percentage was less (4.54%).Conclusion: The study concluded that females were more affectedthan males though the mortality rate in males was more than that infemales. It was observed in the research that the 21–30 years of agegroup was more affected and it came to the fore that students aremore affected by poisoning than any other group. How to cite this article:Dar MI, Amin N, Banday MS, Jan FA. Magnitudeand Burden of Deliberate Self-harm (Poisoning)Cases in SKIMS Soura - A Prospective Study inA Tertiary Care Hospital. Chettinad Health CityMed J. 2023;12(3):79-85. DOI: https://doi.org/10.24321/2278.2044.202355","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127517","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 Cross-sectional Observational Study to Assess Clinical Characteristics, Prescription Patterns and Health-related Quality of Life in Patients with Migraine at a Tertiary Care Teaching Hospital","authors":"Kushal S Parekh","doi":"10.24321/2278.2044.202344","DOIUrl":"https://doi.org/10.24321/2278.2044.202344","url":null,"abstract":"Introduction: Many people around the world suffer greatly from migraine.It is critical to comprehend the clinical nuances, therapeutic approaches,and wider quality-of-life concerns that affect these patients.Objectives: The present study was focused on assessing the clinicalcharacteristics which include the symptom profile, triggering factors,prescription pattern, headache-related disability, and its impact onpatients’ health-related quality of life (HRQoL).Methods: A cross-sectional observational study was conducted fromOctober 2019 to March 2020 at the Department of Neurology, DhirajGeneral Hospital, Vadodara. The data were collected from patients’medical records and through counselling the patients who visited theOut-Patient Department (OPD) or In-Patient Department (IPD). All patientswho met the inclusion criteria were enrolled in the study.Results: The incidence of migraine was found to be higher in females(78%) as compared to males (22%). The majority of patients had a severedisability and severe impact on HRQoL with high MIDAS (MigraineDisability Assessment Scale) and HIT-6 (Headache Impact Test-6) scores.A majority of patients gained less score showing poor quality of life withMSQoL v2.1 [Migraine Specific Quality of Life (version 2.1)]. A higherMIDAS score was observed in chronic migraineurs than episodic migraineurswhile HIT-6 showed a comparable score. Unlike MIDAS andHIT-6, MSQoL v2.1 showed lower scores in chronic migraineurs thanepisodic migraineurs which depicts that chronic migraineurs had a poorhealth-related quality of life than episodic migraineurs.Conclusion: Healthcare professionals should routinely evaluate thequality of life and related disability to determine whether patients arereceiving effective treatment and if any additional treatment strategiesare warranted to enhance QOL. How to cite this article:Kapadi VD, Parekh KS. A Cross-sectionalObservational Study to Assess ClinicalCharacteristics, Prescription Patterns and HealthrelatedQuality of Life in Patients with Migraineat a Tertiary Care Teaching Hospital. ChettinadHealth City Med J. 2023;12(3):9-20. DOI: https://doi.org/10.24321/2278.2044.202344","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127343","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":"Exploring the Relationship between Balance and Cognition in Middle-Aged Individuals with Diabetes and Hypertension: A Cross-sectional Study","authors":"Sanjiv Kumar","doi":"10.24321/2278.2044.202352","DOIUrl":"https://doi.org/10.24321/2278.2044.202352","url":null,"abstract":"Background: Diabetes and hypertension are commonly occurring non-communicablediseases across the world. India is known as the diabetescapital of the world since more than 62 million individuals are presentlysuffering from diabetes. The risk of dementia increases in individualswith type 2 diabetes mellitus (DM). Similarly, in individuals withhypertension (HTN), there is an increased risk of balance impairmentdue to reduced sensory inputs from peripheral nerves to the CNS. Thisstudy has been taken up to evaluate the correlation between balanceand cognition in the adult Indian population suffering from diabetesand hypertension using the Berg Balance and Montreal CognitiveAssessment scale.Method: Two hundred and ninety-eight middle-aged individuals werescreened for hypertension and/ or diabetes mellitus for this crosssectionalstudy. Each subject was assessed for balance and cognitionusing the Berg Balance Scale and Montreal Cognitive Assessment scalerespectively. The data that were obtained were tabulated and analysed.Result: The Pearson correlation analysis suggested a negative correlationbetween diastolic blood pressure (DBP) and cognition (r = -0.267; p =0.020) indicating that higher DBP causes cognition to deteriorate inhypertensive patients. It was seen that an increase in systolic bloodpressure correlated with a decline in cognitive ability among diabeticpeople.Conclusion: Hypertension with increased diastolic pressure resultsin detrimental cognitive decline. No correlation was found betweensystolic blood pressure (SBP), DBP and balance. An increase in theglycaemic level affects cognitive ability and increases the risk of falls. How to cite this article:Kumar S, Chitra J, Fernandes J, Shetty A, Nale A,George CM, Yadav N. Exploring the Relationshipbetween Balance and Cognition in Middle-AgedIndividuals with Diabetes and Hypertension: ACross-sectional Study. Chettinad Health City MedJ. 2023;12(3):56-61. DOI: https://doi.org/10.24321/2278.2044.202352","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127344","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}