International Journal of Advanced Medical and Health Research最新文献_第7页

Analysis of cesarean section using Robson's ten group classification system in a tertiary care center from Southern India: A cross-sectional study 分析剖宫产使用罗布森的十组分类系统在三级保健中心从印度南部:横断面研究

International Journal of Advanced Medical and Health Research Pub Date : 2021-07-01 DOI: 10.4103/ijamr.ijamr_152_21

Kanmani Murugesan, S. Rengaraj

{"title":"Analysis of cesarean section using Robson's ten group classification system in a tertiary care center from Southern India: A cross-sectional study","authors":"Kanmani Murugesan, S. Rengaraj","doi":"10.4103/ijamr.ijamr_152_21","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_152_21","url":null,"abstract":"Background: The rising cesarean section (CS) rate is a global concern and World Health Organization in 2015 has proposed the use of Robson-10 group classification system as a standard for assessing and monitoring CS both within and across the healthcare facilities. Objective: The objective is to analyze the CSs performed in a teaching hospital using Robson 10-group classification system. Methodology: The present cross-sectional study was done over a period of 1 year from May 2017 to April 2018. All eligible women delivered in JIPMER, a tertiary care referral center during the study period were classified as per Robson Ten-Group classification system. Caesarean delivery rates were reported. The relative and absolute contribution to CS rates in each groups were calculated. Epi data V.3.1 was used for data analysis. Results: Among 16,863 women delivered during the study, the CS rate was 21.4%. The three common indications for CS overall were fetal distress, nonprogress of labor, and cephalopelvic disproportion. Group 1 (nulliparous, singleton, term cephalic, spontaneous labor) was the largest size followed by group 2 (nulliparous, singleton, term cephalic, induced labor) with 25% and 16.9%, respectively. The maximum contribution of CS was by group 5 (multiparous women, singleton, term cephalic, previous uterine scar) followed by group 2 with 34.9% and 18.9%, respectively. Conclusion: Robson group 5, 2, and 1 were the major contributions to CS in our hospital. Further studies are needed to study the appropriateness of indications for CS especially in groups 2 and 1 as they are the future group 5.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"8 1","pages":"75 - 82"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41404919","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: 2

New beginnings and new challenges 新的开始和新的挑战

International Journal of Advanced Medical and Health Research Pub Date : 2021-07-01 DOI: 10.4103/ijamr.ijamr_229_21

V. Kate, V. Menon

引用次数: 0

Human dirofilariasis: An emerging zoonotic nematodal infection - A case series 人类dirofilasis：一种新出现的人畜共患线虫型感染——一系列病例

International Journal of Advanced Medical and Health Research Pub Date : 2021-07-01 DOI: 10.4103/ijamr.ijamr_259_20

Linta Jacob, Nevil Varghese, A. Menon, A. Vinayakumar

引用次数: 0

Hypoparathyroidism in pregnancy 妊娠期甲状旁腺功能减退

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/ijamr.ijamr_223_20

A. Coumary, Samya Janarthanam, T. Dutta, S. Habeebullah

引用次数: 0

Contemplate enteroviral etiology: Not all neonatal sepsis syndromes are bacterial 考虑肠道病毒病因：并非所有新生儿败血症综合征都是细菌性的

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/IJAMR.IJAMR_143_20

Femitha Pournami, Mandya Alok Kumar, Anand Nandakumar, Jyothi Prabhakar, Naveen Jain

引用次数: 0

Prevalence of ABO blood group phenotypes and antibody titers of the blood donor population in and around Puducherry 普杜切里及周边地区献血人群ABO血型表型和抗体滴度的流行

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/ijamr.ijamr_8_21

S. Gopal, Sujitha Kannan, Rajendra Gurunath Kulkarni, A. Basavarajegowda

{"title":"Prevalence of ABO blood group phenotypes and antibody titers of the blood donor population in and around Puducherry","authors":"S. Gopal, Sujitha Kannan, Rajendra Gurunath Kulkarni, A. Basavarajegowda","doi":"10.4103/ijamr.ijamr_8_21","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_8_21","url":null,"abstract":"Background: For any blood transfusion services, knowing the prevalence and distribution of blood groups in their corresponding geographical area is essential. Hence, this study was done to know the prevalence and distribution of the ABO blood group and the antibody titer levels of blood donors at a premier tertiary care center in Southern India. Methodology: This was a cross-sectional study conducted over 22 months from September 2015 to June 2017 in the Department of Transfusion Medicine, JIPMER, Puducherry, among blood donors in a single tertiary care teaching hospital blood center. The ABO blood group and Rhesus factors (Rh) were determined by the antigen-antibody agglutination test by the test tube method. Titration of anti-A and anti-B antibodies was also done for selected “O” group donors by the doubling dilution technique in the tube method. Results: It was found that the most common blood group in our blood donor population was the “O” blood group with 11,904 (38.43%) followed by “B” 10,643 (34.37%), “A” 6,201 (20.02%), and “AB” 2,219 (7.17%). We had 4 Bombay blood group donors during the study period (0.01%). A titer of 1:32 was the most frequently encountered for IgM anti-A and anti-B antibodies; in Group “O” donors and IgG antibodies, it was 1:8. Conclusion: The prevalence of ABO in and around Puducherry is comparable to those published from other regions in Southern India, with the “O” group being the most common. The distribution of antibody titers for anti-A and anti-B is similar to other studies in India.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"8 1","pages":"28 - 32"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46530259","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: 1

Clinical profile of children with influenza a and b infections admitted to a tertiary care hospital in South India 南印度一家三级医院收治的甲型和乙型流感感染儿童的临床概况

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/IJAMR.IJAMR_198_20

J. Arul, S. Ponnarmeni, Sharmila Ferdinamarie, R. Dhodapkar, Peter Prasanth Kumar Kommu

{"title":"Clinical profile of children with influenza a and b infections admitted to a tertiary care hospital in South India","authors":"J. Arul, S. Ponnarmeni, Sharmila Ferdinamarie, R. Dhodapkar, Peter Prasanth Kumar Kommu","doi":"10.4103/IJAMR.IJAMR_198_20","DOIUrl":"https://doi.org/10.4103/IJAMR.IJAMR_198_20","url":null,"abstract":"Background: The influenza pandemics have caused serious morbidity and mortality around the world. Only a few studies have described the clinical profile of both influenza A and B infections among children and its seasonal variations. Aims: To study the clinical profile of children with influenza (A and B) admitted to a tertiary care hospital in India over a period of 17 months. Methods: A retrospective case file review was done for all influenza-positive cases (by real time-polymerase chain reaction) admitted in the ward and pediatric intensive care unit of a tertiary care hospital from January 2018 to May 2019. Results: A total of 164 admitted children were screened for influenza, of which 41 children (25%) were positive. Seasonal variation showed highest peak in the month of October with 17 positive cases (41%). Influenza B was observed during the first half of the year 2018 followed by an increase in influenza A infection in the last 6 months. The common presenting symptoms were cough (16, 39%) and respiratory distress (21, 51%). Out of 41, 18 children (44%) required respiratory support, but only 2 (5%) required mechanical ventilation. Hyponatremia was present at admission in 13 (61%) of 21 (51%) tested samples. The median length of hospital stay in the admission hyponatremia group was 7 days (interquartile range [IQR] 4, 15) as compared to the overall median length of stay of 4 days (IQR 3, 7). Conclusions: Our study showed a predominance of influenza B in the first half of the year and influenza A infection during the second half. A similar pattern was also seen in the first half of the subsequent year. Further studies are required to understand the impact of hyponatremia in these patients.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"8 1","pages":"12 - 15"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42960744","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: 1

Why must faculty members in medical institutions engage in research? 为什么医疗机构的教职员工必须从事研究?

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/ijamr.ijamr_105_21

Rakesh Aggarwal

引用次数: 0

Operating room preparedness to manage future pandemics of airborne infectious diseases: What is needed? 手术室应对未来空气传播传染病大流行的准备工作:需要什么?

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/ijamr.ijamr_88_21

M. Mohta, G. Chilkoti

{"title":"Operating room preparedness to manage future pandemics of airborne infectious diseases: What is needed?","authors":"M. Mohta, G. Chilkoti","doi":"10.4103/ijamr.ijamr_88_21","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_88_21","url":null,"abstract":"The entire world has been in the grip of COVID-19 for more than a year and is susceptible to have further pandemics in future. Although elective surgical procedures should be postponed in infected patients, they may require emergency surgeries. At the beginning of the COVID-19 pandemic, most operating room (OR) setups were not as per the requirements. Hence, several modifications and innovations were made to handle the situation. The existing ORs were converted temporarily into COVID ORs using these modifications. However, now it is well understood that the world is quite susceptible to these types of infectious diseases, and special ORs will be required for surgical management of infected patients. Therefore, it becomes extremely important to prepare dedicated ORs for emergency surgeries in patients with airborne infectious diseases, which can be readily used to manage infected or suspected patients in the event of any future pandemic. We aim to review the current relatively scarce literature and answer some questions about the readiness and methods required for conducting safe surgery during the COVID-19 pandemic, as well as any other such pandemic in future. The preparations are needed in the field of infrastructure, staff requirements and management, equipment and other supplies, and formulation of guidelines for clinical management. The ultimate aim is to prevent spread of infection from the patient to the staff members, OR environment, and other patients without compromising the care of the infected patient. This review highlights these issues and also discusses specific concerns in some special patient populations.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"8 1","pages":"4 - 11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42194388","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

Life skills of adolescent girls in relation to their self-concept developed through kishori panchayat: An adolescents for health action model 通过“促进青少年健康行动模式”发展的青春期女孩与其自我概念相关的生活技能

International Journal of Advanced Medical and Health Research Pub Date : 2021-01-01 DOI: 10.4103/IJAMR.IJAMR_211_20

Ishita Guha, C. Maliye, Subodh S. Gupta, B. Garg

{"title":"Life skills of adolescent girls in relation to their self-concept developed through kishori panchayat: An adolescents for health action model","authors":"Ishita Guha, C. Maliye, Subodh S. Gupta, B. Garg","doi":"10.4103/IJAMR.IJAMR_211_20","DOIUrl":"https://doi.org/10.4103/IJAMR.IJAMR_211_20","url":null,"abstract":"Background: The Adolescents for Health Action model: Kishori Panchayat (KP) is a novel community participation approach for mobilizing and empowering adolescent girls. The model is expected to improve life skills of adolescent girls not only through occasional life skills sessions but also by providing them a platform for interaction with peer-groups, villagers and health-care providers, sharing experiences, community level health, and social activities. Objective: We aimed to assess whether life skills of KP girls are better in comparison to non-KP girls aged 12–18 years. Methodology: A cross-sectional study was carried out among 100 KP and non-KP girls, respectively, of aged 12–18 years, selected using random lottery method over 1-year period under Anji and Waifad Primary health center areas (10 villages from each) of rural Wardha, Maharashtra. Validated self-administered scales for communication skill, critical thinking, decision-making, problem-solving, and self-esteem were used. Written consent from participants and permission from institutional ethics committee were taken. Results: The mean life skill scores were better among KP girls compared to non-KP with a significant difference (P < 0.001) in both groups regarding communication skill, critical thinking skill, decision-making, problem-solving, self-esteem, and total life skill scores. Conclusion: Community-based adolescents for health action model for the rural adolescent girls can empower and enhances their life skills with minimum resource and intensive effort.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"8 1","pages":"16 - 21"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48442526","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