International Academic Research Journal of Internal Medicine and Public Health最新文献

{"title":"Knowledge Regarding Breast Feeding as Well as Complementary Feeding Among Postnatal Mothers in A Hilly State of Northern India: A Cross-Sectional Study","authors":"Mohinder Kumar, Pallavi Sharma","doi":"10.47310/iarjimph.2022.v03i04.007","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.007","url":null,"abstract":"Background: Breast milk provides the newborn with all of the nutrients they require in the appropriate amounts and contributes to their overall health, whereas complementary feeding is required to deliver the energy and crucial nutrients for sustained growth and development. Present study was carried out to evaluate the knowledge towards breast feeding as well as complementary feeding among postnatal mothers of Himachal Pradesh. Methodology:This cross sectional survey was conducted among the postnatal mothersresiding in the state of Himachal Pradesh, using Google forms. The questionnaire was circulated among all over the state for responses using online modes like e-mail and social media platforms like Whatsapp groups, Facebook, Instagram and Linkedin till the 400 responses were collected. Data was analyzed using Epi info V7 Software. Results:Among the total 400 Post Natal Mothers, maximum 238(59.5%) were having age between 26-30 years, educated up to Matric and Senior Secondary 185(46.25%) , Hindu 382(95.5%), Housewife 298(74.5%), Multigravida 281(70.25%) and delivered in government hospitals 290(72.5%).In the present study 66(16.5%) postnatal mothers’ had very good knowledge (16-20 marks) towards breast feeding , 259(64.75%) having good knowledge (12-15 marks), 70(17.5%) having fair knowledge (8-11 marks) and 5(1.25%) having poor knowledge (less than 8 marks) towards breast feeding.Similarly, 39(9.75%) postnatal mothers’ had very good knowledge (16-20 marks) towards complementary feeding , 288(72%) having good knowledge (12-15 marks), 54(13.5%) having fair knowledge (8-11 marks) and 19 (4.75%) having poor knowledge (less than 8 marks) towards complementary feeding. Conclusion: During the antenatal period, every Postnatal Mother should receive proper breastfeeding assistance and education in addition to complementary feeding information, and all of their myths should be appropriately debunked.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125099360","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":"Management and Outcomes among Acute Intestinal Obstruction Patients Admitted At Tertiary Care Institute of North India","authors":"Rohit Sharma, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjimph.2022.v03i04.002","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.002","url":null,"abstract":"Background: Acute intestinal obstruction continues to be one of the commonest surgical emergencies. Present study was done to evaluate the Management and outcomes among acute intestinal obstruction patients admitted at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic Characteristics, Management and outcomes was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. In our study patients of intestinal obstruction were managed more commonly surgically 30 (60%) than conservative 20 (40%). Among the 30 patients managed surgically, Adhesiolysis was done in 8 patients, Resection and anastomosis in 7 patients, Resection anastomosis and stoma creation in 5 patients, Hemicolectomy in 6 patients, Appendicectomy in 2 patients, Transverse loop Colostomy in 1 patient and De-rotation with sigmoidopexy in 1 patient. In the present study of 50 patients, 2 patients died. All death were due to Septicaemia and ARDS. Conclusion: Our study concluded that most of cases of Acute Intestinal Obstruction were managed surgically. Adhesiolysis, Resection and anastomosis, Resection anastomosis and stoma creation and Hemicolectomy were the common mode of surgical management. All death occurred due to Septicaemia and ARDS.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129368176","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":"Evaluation of Serum Lactate, pH and Procalcitonin Level as a Prognostic Indicator for Mortality among Secondary Peritonitis Patients in a Tertiary Care Hospital","authors":"P. Thakur, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjimph.2022.v03i04.004","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.004","url":null,"abstract":"Background: The present study was carried out to evaluate the serum lactate, pH and procalcitonin level as a prognostic indicator for mortality among secondary peritonitis patients. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged. Mean Pre (AL1), Postoperative (AL24) lactate level and Absolute lactate clearance (AL1 - AL24) was 2.48±1.42 and 1.74±1.52 and 0.74 mmol/L respectively. There was significant difference in the AL1 and AL24. Mean AL1 in expired patients was 3.78±2.24 mmol/L while among discharged patients it was 2.29 ±1.15 mmol/L and its increased level was significantly associated with mortality. The mean AL24 in expired patients was 3.67±3.18 mmol/L while among discharged patients it was 1.45 ±0.76 mmol/L and its increased level was significantly associated with mortality. The mean AL1 - AL24 in expired patients was 0.11±2.79 mmol/L while among discharged patients it was 0.84 ±1.1- mmol/L and its decreased level was significantly associated with mortality. Mean Pre (pH1), Postoperative (pH24) pH level and Procalcitonin was 7.33±0.10 and 7.35±0.11 and 0.88±0.80 ng/ml respectively. Mean pH1 in expired patients was 7.16±0.09 while among discharged patients it was 7.36 ±0.08 and its decreased level was significantly associated with mortality. The mean pH24 in expired patients was 7.17±0.13 mmol/L while among discharged patients it was 7.38 ±0.07 and its decreased level was significantly associated with mortality. The mean Procalcitonin level in expired patients was 2.58 ±1.26 ng/ml while among discharged patients it was 0.63 ±0.18 ng/ml and its increased level was significantly associated with mortality. Conclusion: The study concluded that increased Pre (AL1), Postoperative (AL24) lactate and Procalcitonin level while decreased Absolute lactate clearance (AL1 - AL24) , Pre (pH1) and Postoperative (pH24) pH level was significantly associated with mortality.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126855976","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":"Socio-demographic Characteristics of Idiopathic Dilated Cardiomyopathy Patients","authors":"Vikant Verma, S. Chauhan","doi":"10.47310/iarjimph.2022.v03i04.005","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.005","url":null,"abstract":"Background: Idiopathic Dilated Cardiomyopathy(DCM) is generally an irreversible heart muscle disease with approximate prevalence of 1:2500 and amongst the most frequent cause of heart transplantation. This study was conducted to evaluate the socio-demographic characteristics of Idiopathic Dilated Cardiomyopathy patients in a tertiary care hospital.Material and Methods: This was a cross sectional study carried out in the Department of Cardiology at PGIMER, Chandigarh. A total of 34 patients aged between 20-60 years, diagnosed with idiopathic dilated cardiomyopathy from outpatient departments and inpatient wards scrutinized following protocoled set exclusion criteria were evaluated.Results: Among the total 34 patients 25 (73.5%) were males and 9 (26.5%) were females (M:F=2.7:1). Among them 23 (67.6%) were less than 40 years old while 11 (32.4%) were >40 years old. The mean age of the patients was 40.44 (S.D.± 10.42). Total patients with LVEF less than 25% were 18, out of which 3 (16.7%) were female and 15 were male (83.3%). Among these 3 (16.7%) were >40 years and 15 were less than 40 years (83.3%). Total patients with LVEF>25% were 16, out of which 10 males (62.5%) and 6 females (37.5%).Among these 8 (50%) were >40 years and 8 were less than 40 years (50%). Total patients with RVEF less than35% were 11, out of which 2 (18.2%) were female and 9 were male (81.8%). Among these 3 (27.3%) were >40 years and 8 were less than 40 years (72.7%). Total patients with RVEF>35% were 23, out of which 16 males (69.6%) and 7 females (30.4%). Among these 8 (34.8%) were >40 years and 15 were less than 40 years (65.2%).Conclusion:Present study concluded that most of patients ofIdiopathic Dilated Cardiomyopathy patients were males and less than 40 years old.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127309534","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":"Screening for Intercellular Adhesion Gene Cluster Genes Staphylococcus aureus Isolated from UTI Cases","authors":"Faten Farhan, F. Köksal, Osama nadhom Nijris, Aliah Othman Farhan, Waleed Khalid Ahmed, Hasan Alantake","doi":"10.47310/iarjimph.2022.v03i04.003","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.003","url":null,"abstract":"144 urine samples were collected from persons suspected of urinary tract infections, their ages ranged from 7 to 60 years. Some pathogens of urinary tract infections were investigated, diagnosed, and antibiotic sensitivity tested. The percentage of patients with diabetes and pregnant women was also investigated, in addition to comparing patients between age and gender. The results showed the results of isolation and diagnosis of Staphylococcus aureus showed 15.27% of the number of (22) samples and were divided into age groups. The present study evaluated the ability of biofilm formation and the presence of (icaA) and (icaD) genes among strains of staphylococci isolated from patients with urinary tract infection. The presence of (icaA) and (icaD) gene was also determined by PCR technique the Biofilm development is common among Staphylococcus aureus isolated from urinary tract infections .The sensitivity of Staphylococcus aureus bacteria was tested to 10 antibiotics, and the highest sensitivity was to an antibiotic Methicillin 91%, and 86.3% towards Amoxicillin. It also gave an 81%percentage to an antibiotic Levofloxacin and Gentamicin. It is also being less sensitive to an antibiotic Ethromycin. The bacteria showed moderate sensitivity to an antibiotic Rifampicin 86.36% and to an antibiotic vancomycin 81.81% and it was less moderate sensitivity to an antibiotic Methicillin and Ethromycin 4.54%. The bacteria showed a high resistance to an antibiotic Ethromycin 90.90% and also to an antibiotic Tetracycline 81.81%, While there was no resistance to an antibiotic Rifampicin 0.0%. Through the study of the statistical analysis, it was shown that there are significant differences, that is, that there are differences in the effect of antibiotics on bacteria, and it was the best four antibiotics and had an effect on the sensitivity of bacteria it is Methicillin, Gentamicin, Levofloxacin and Ciprofloxacin.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131573318","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":"Co-Morbidities and Post-Operative Complications in Patients of Acute Intestinal Obstruction at Tertiary Care Institute of North India","authors":"Rohit Sharma, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjimph.2022.v03i04.001","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.001","url":null,"abstract":"Background: There is limited information on the post operative complications and associated co-morbidities for bowel obstruction. Present study was done to evaluate the Co-Morbidities and Post operative complications in Patients of acute intestinal obstruction at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic Characteristics, Co-Morbidities and Post operative complications was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. In present study diabetes (18%) was the most common co-morbidity followed by hypertension (10%). Surgical site infection (SSI) was the most common post-operative complication (33%) followed by respiratory tract infection (17%) and septicemia (7%). This study shows that major complications occurred in patients having both hypertension and diabetes. Patients with diabetes are more liable to complications than hypertension. Conclusion: Our study concluded that diabetes and hypertension were the most common co-morbidities while Surgical site infection, respiratory tract infection and septicemia (SSI) were the most common post-operative complication among patients of Acute Intestinal Obstruction.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129724508","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 Study to Evaluate the Knowledge Regarding Menopausal Phenomenon among Menopausal Women in a Hilly State of Northern India","authors":"Pallavi Sharma, Mohinder Kumar","doi":"10.47310/iarjimph.2022.v03i04.006","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i04.006","url":null,"abstract":"Background:Women all over the world now have to spend almost 1/3rd of their lives in menopausal years. Therefore, menopause now is a concerning matter to maintain and improve women’s health. This study was done to evaluate the knowledge regarding Menopausal Phenomenonamong menopausal women in a hilly state of Northern India. Methods:This cross sectional survey was conducted amongst themenopausal women residing in the state of Himachal Pradesh, using Google forms. The questionnaire was circulated among both rural and urban residents of the state for responses using online modes like e-mail and social media platforms like Whatsapp groups, Facebook, Instagram and Linkedin till the 400 responses were collected. Data was analyzed using Epi info V7 Software. Results: Among the total 400 participants, 150(37.5%) from urban area while 250(62.5%) were from rural area. Among the participants, majority 240(60.0%) were between 51-60 years, 165(41.25%) were Middle pass, 366 (91.5%) were employee, 380(95.0%) were married and 383 (95.75%) were Hindu. In the present study 16(4%) Menopausal women had very good knowledge (16-20 marks) towards Menopausal phenomenon, 156(39%) had good knowledge (12-15 marks), 192(48%) having fair knowledge(8-11 marks) and 36(9%) having poor knowledge (less than 8 marks). Conclusion: This showed that majority of menopausal women had inadequate knowledge regarding Menopausal phenomenon. The awareness towards menopause should be increased by IEC (information, education, and counseling), so as to help these women to live their postmenopausal years more healthy and active.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"265 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132813172","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":"Motor Neuron Disease: A Case Report with Review of Literature","authors":"Shubham Sharma, Nidhi Chauhan","doi":"10.47310/iarjimph.2022.v03i03.005","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.005","url":null,"abstract":"Motor neurone disease (MND) is an uncommon neurodegenerative disease that affects the brain and nerves. It causes weakness that gets worse over time. There's no cure for MND, but there are treatments to help reduce the impact it has on a person's daily life.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132150162","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":"Analysis of Balanced Nutrition Consumption Behavior During the Covid-19 Pandemic At Binatama Health Vocational School, Yogyakarta","authors":"S. Djannah, Dyah Suryani, N. Hastuti","doi":"10.47310/iarjimph.2022.v03i03.002","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.002","url":null,"abstract":"Teenagers’ food consumption patterns during the COVID-19 pandemic are very important, to keep the body healthy and avoid infectious diseases such as Covid-19. This study aims to analyze the consumption behavior of balanced nutrition that still needs attention from the students of SMK Kesehatan Binatama so that it can be used to produce health promotion programs for students. This research is a qualitative descriptive study. Secondary data from the results of previous studies. Both closed behavior (such as knowledge, attitudes) and open behavior of students in consuming balanced nutrition, where students' understanding still answered incorrectly, or their attitude negative. It is presented and concluded. The results showed that the knowledge, attitudes, and roles of teachers towards students regarding balanced nutrition during the covid 19 pandemic were mostly good, only in terms of behavior that required attention, namely about the lack of action in terms of 1) maintaining regular weight gain during the covid-19 pandemic for normal weight (54 out of 84); 2) eat fruit at least 2 times a day during the covid-19 pandemic (47 out of 84); 3). reducing consumption of sweet, salty and fatty foods during the covid-19 pandemic (52 out of 84); and 4). do physical activity/sports for at least 30 minutes a day during the covid-19 pandemic (59 out of 84). Then the role of parents is mostly good, the only thing that needs attention is regarding excessive consumption of snacks during the COVID-19 pandemic has not received the attention of parents (43 out of 84).","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125340068","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 Case of Pleural Effusion and Ascites Associated With Acute Hepatitis A","authors":"Shubham Sharma, Roha . Shad","doi":"10.47310/iarjimph.2022.v03i03.004","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.004","url":null,"abstract":"Hepatitis A virus (HAV) infection is common in developing countries, including India. It can be accompanied by extra-hepatic complications such as renal failure, arthritis, and vasculitis. Pleural effusion is a very rare complication of HAV infection, which has been reported usually in children, and has benign clinical courses. Here we report a case of pleural effusion with ascites which occurred in an adult hepatitis A patient. A 26-year-old-man presented with generalized myalgia and fever and was diagnosed as acute hepatitis A. Despite of the improvement of laboratory findings, fever and cough persisted. Pleural effusion newly appeared on the serial chest radiologic images. After the fever settled down, the pleural effusion resolved spontaneously at 2nd week of admission.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129419021","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}