National Medical Journal of India最新文献_第8页

Arrhythmia occurring as the sole presenting feature in Covid-19. 心律失常是新冠肺炎的唯一表现特征。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_774_20

Anupam Bhambhani, Prajith Pasam

引用次数: 0

Symptoms and psychosocial effects following hospitalization for Covid-19: A sequential, mixed-methods study from northern India. Covid-19住院后的症状和心理社会影响:一项来自印度北部的连续混合方法研究

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_800_21

Sagar Khera, Manmeet Kaur, Rupinder Kaur, Abhishek Sharma, Ritin Mohindra, Vikas Suri, P V M Lakshmi, Roop Kishor Soni, Ashish Bhalla, Shubh Mohan Singh

{"title":"Symptoms and psychosocial effects following hospitalization for Covid-19: A sequential, mixed-methods study from northern India.","authors":"Sagar Khera, Manmeet Kaur, Rupinder Kaur, Abhishek Sharma, Ritin Mohindra, Vikas Suri, P V M Lakshmi, Roop Kishor Soni, Ashish Bhalla, Shubh Mohan Singh","doi":"10.25259/NMJI_800_21","DOIUrl":"https://doi.org/10.25259/NMJI_800_21","url":null,"abstract":"Background It is reported that patients who have recovered from Covid-19 continue to experience various symptoms and adverse outcomes. However, this aspect has not been studied well. We aimed to evaluate these variables and the perceived impact of Covid-19 among patients discharged from a Covid hospital in northern India. Methods We conducted this study among patients discharged from a Covid-19 hospital in northern India in June 2020. As per the official policy at that time, patients detected to have Covid-19 (symptomatically or via contact tracing) were mandatorily admitted. A sequential, mixed-methods design was followed. Patients discharged from the hospital were contacted telephonically, and the cross-sectional prevalence of symptoms, the prevalence of depression and anxiety and the social consequences of admission were assessed. A subgroup of patients was interviewed for qualitative assessment of their experience. Results A total of 274 patients provided consent and were assessed, of which 8 patients underwent detailed interviews. The prevalence of somatic symptoms was 3.4%; 36.2% of the patients had depressive and 12% of the patients had anxiety symptoms. A majority of patients experienced adverse social and economic consequences of hospitalization for Covid-19. These themes were reinforced by a qualitative analysis of in-depth interviews. Conclusions Our study population experienced a high prevalence of adverse psychosocial consequences of Covid-19. These included depression and anxiety symptoms, stigma and economic and occupational consequences. These deserve more recognition and study.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"210-214"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Covid-19: What the pandemic has taught us and the way forward. 2019冠状病毒病:大流行教给我们的教训和前进的方向。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_1064_22

Randeep Guleria, Shubham Agarwal

引用次数: 0

Covid-19 presenting as isolated severe thrombocytopenia in an HIV-lymphoma survivor. Covid-19在hiv -淋巴瘤幸存者中表现为分离的严重血小板减少症。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_477_21

Manu Madan, Imtiyaz Shareef, Arun Raja, Tanima Dwivedi, Saurabh Mittal, Biswajeet Sahoo, Ved Prakash Meena, Pawan Tiwari, Anant Mohan, Saumayaranjan Mallick

引用次数: 0

Willingness of medical students to volunteer during the Covid-19 pandemic: Assessment at a tertiary care hospital in India. 2019冠状病毒病大流行期间医学生志愿服务意愿:对印度一家三级医疗医院的评估

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_104_21

Manraj Sra, Amulya Gupta, Abhishek Jaiswal, Kapil Yadav, Anil Goswami, Kiran Goswami

{"title":"Willingness of medical students to volunteer during the Covid-19 pandemic: Assessment at a tertiary care hospital in India.","authors":"Manraj Sra, Amulya Gupta, Abhishek Jaiswal, Kapil Yadav, Anil Goswami, Kiran Goswami","doi":"10.25259/NMJI_104_21","DOIUrl":"https://doi.org/10.25259/NMJI_104_21","url":null,"abstract":"Background The involvement of medical students in strategies to control Covid-19 might be considered to cope with the shortage of healthcare workers. We assessed the knowledge about Covid-19, willingness to volunteer, potential areas of involvement and reasons for hesitation among medical students towards volunteering. Methods We did this cross-sectional study among undergraduate students at a tertiary care teaching hospital in New Delhi. We used a web-based questionnaire to elicit demographic information, knowledge of Covid-19, willingness to volunteer and reasons deterring them from working during the Covid-19 pandemic, and self-declared knowledge in six domains. Results A total of 292 students participated in the study with a mean (SD) age of 19.9 (3.1) years. The mean (SD) knowledge score of Covid-19 was 6.9 (1.1) (maximum score 10). Knowledge score was significantly different among preclinical (6.5), paraclinical (7.18) and clinical groups (7.03). Almost three-fourth (75.3%) participants were willing to volunteer in the Covid-19 pandemic, though 67.8% had not received any training in emergency medicine or public health crisis management. Willingness to work was maximum in areas of social work and indirect patient care (62.3% each). Lack of personal protective equipment was cited as a highly deterring factor for volunteering (62.7%) followed by fear of transmitting the infection to family members (45.9%), fear of causing harm to the patient (34.2%) and the absence of available treatment (22.2%). Conclusions A majority of the students were willing to volunteer even though they had not received adequate training. Students may serve as an auxiliary force during the pandemic, especially in non-clinical settings.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"247-251"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter from Chennai. 来自金奈的信。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI-35-4-253

M K Mani

引用次数: 0

Impact of Covid-19 lockdown on the emotional health of schoolchildren in an urban Indian setting. Covid-19封锁对印度城市学童情绪健康的影响

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_26_21

Deepa Elizabeth Mathew, Cheri Mathews John, Natasha Susan John, Joe Johnson, S Porchelvan, Sanju George

{"title":"Impact of Covid-19 lockdown on the emotional health of schoolchildren in an urban Indian setting.","authors":"Deepa Elizabeth Mathew, Cheri Mathews John, Natasha Susan John, Joe Johnson, S Porchelvan, Sanju George","doi":"10.25259/NMJI_26_21","DOIUrl":"https://doi.org/10.25259/NMJI_26_21","url":null,"abstract":"Background Public health measures taken to prevent the spread of the Covid-19 pandemic can potentially impact the mental health of children. We assessed the prevalence and risk factors for childhood depression during the Covid-19 lockdown. Methods After 100 days of lockdown, we sent a survey questionnaire by WhatsApp to parents of school-aged children (5-16 years) in Chennai. The Short Mood and Feelings questionnaire was used as an objective screening tool to assess depression, with a score of 12 as the cut-off. Results There were 874 responses. The prevalence of childhood depression was 13.7%. Girls were more likely to be depressed than boys; 11-16-year-olds were more likely to be depressed than 5-10-year-old children. Children who had more than 4 hours online education had a higher likelihood of depression. Those who used a cell phone for online classes had a higher likelihood of depression compared to other devices, such as tabs or laptops. Children who slept less than 8 hours a day had a higher likelihood of depression while those who either did not sleep in the afternoon or slept less than 1 hour had a lower likelihood of depression. Children who were interacting with family over 1 hour per day had a lower likelihood of depression. Conclusion Overzealous online education, lack of adequate sleep and failure to spend quality time with the family can negatively impact the mental health of children. The impact of Covid-19 on the emotional health of children should be addressed by public health policy-makers and healthcare professionals.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"229-231"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Haemogram indices are as reliable as CURB-65 to assess 30-day mortality in Covid-19 pneumonia. 在评估Covid-19肺炎患者30天死亡率方面，血图指标与CURB-65一样可靠。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_474_21

Okan Bardakci, Murat Das, Gökhan Akdur, Canan Akman, Duygu Siddikoglu, Okhan Akdur, Yavuz Beyazit

{"title":"Haemogram indices are as reliable as CURB-65 to assess 30-day mortality in Covid-19 pneumonia.","authors":"Okan Bardakci, Murat Das, Gökhan Akdur, Canan Akman, Duygu Siddikoglu, Okhan Akdur, Yavuz Beyazit","doi":"10.25259/NMJI_474_21","DOIUrl":"https://doi.org/10.25259/NMJI_474_21","url":null,"abstract":"Background Mortality due to Covid-19 and severe community-acquired pneumonia (CAP) remains high, despite progress in critical care management. We compared the precision of CURB-65 score with monocyte-to-lymphocyte ratio (MLR), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) in prediction of mortality among patients with Covid-19 and CAP presenting to the emergency department. Methods We retrospectively analysed two cohorts of patients admitted to the emergency department of Canakkale University Hospital, namely (i) Covid-19 patients with severe acute respiratory symptoms presenting between 23 March 2020 and 31 October 2020, and (ii) all patients with CAP either from bacterial or viral infection within the 36 months preceding the Covid-19 pandemic. Mortality was defined as in-hospital death or death occurring within 30 days after discharge. Results The first study group consisted of 324 Covid-19 patients and the second group of 257 CAP patients. The non-survivor Covid-19 group had significantly higher MLR, NLR and PLR values. In univariate analysis, in Covid-19 patients, a 1-unit increase in NLR and PLR was associated with increased mortality, and in multivariate analysis for Covid-19 patients, age and NLR remained significant in the final step of the model. According to this model, we found that in the Covid-19 group an increase in 1-unit in NLR would result in an increase by 5% and 7% in the probability of mortality, respectively. According to pairwise analysis, NLR and PLR are as reliable as CURB-65 in predicting mortality in Covid-19. Conclusions Our study indicates that NLR and PLR may serve as reliable predictive factors as CURB-65 in Covid-19 pneumonia, which could easily be used to triage and manage severe patients in the emergency department.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"221-228"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9824106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of satisfaction and reasons for participation in a Covid-19 vaccine clinical trial: A single-centre, observational study. 评估参与 Covid-19 疫苗临床试验的满意度和原因：单中心观察研究。

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_496_22

Palvi Kudyar, Dhruve Soni, Nithya J Gogtay

{"title":"Evaluation of satisfaction and reasons for participation in a Covid-19 vaccine clinical trial: A single-centre, observational study.","authors":"Palvi Kudyar, Dhruve Soni, Nithya J Gogtay","doi":"10.25259/NMJI_496_22","DOIUrl":"10.25259/NMJI_496_22","url":null,"abstract":"Background In May 2020, WHO recognized the role of extensive immunization for interrupting the transmission of the SARS-CoV-2 virus. The development of such vaccines in clinical trials relies upon participants who are expected to be vested in the research process. Assessment of participant factors such as motivation and satisfaction are hence important to gauge perspective and ensure successful conduct and completion of these trials. Methods We administered a validated three-domain questionnaire to and documented the binary categorical responses (yes/no) of participants (after informed consent) who had taken both doses of COVOVAX™ in a phase 3 trial at our institute. Association of the dependent variables (participant responses) with the independent variables (participant demographics and socioeconomic strata) was computed using Chi-square test at 5% significance. In case of a significant association, Bonferroni post-hoc test was applied for multiple comparisons. Results Of the 78 participants who were administered the questionnaire, two-thirds were highly satisfied with their experience at our site. Gaining access to a new vaccine was a primary motivation overall (74%) and also in graduates (p=0.03) and middle-class population (p=0.002), whereas the lower-middle class population (p<0.0001) and those educated till secondary school (p=0.003) took part due to the long wait for government-approved vaccines. Conclusion Participants in a Covid-19 vaccine trial at Mumbai were largely satisfied with the care given to them though altruism did not feature as a primary reason for participation.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"214-218"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scoping review of published research on medical education in India during the Covid-19 pandemic. 对2019冠状病毒病大流行期间印度医学教育已发表研究的范围审查

IF 0.4 4区医学

National Medical Journal of India Pub Date : 2022-07-01 DOI: 10.25259/NMJI_636_21

Dinesh Kumar, Jagdish Varma, Amol Dongre, Himanshu Pandya

{"title":"Scoping review of published research on medical education in India during the Covid-19 pandemic.","authors":"Dinesh Kumar, Jagdish Varma, Amol Dongre, Himanshu Pandya","doi":"10.25259/NMJI_636_21","DOIUrl":"10.25259/NMJI_636_21","url":null,"abstract":"Background Medical educators in India made rapid adjustments to maintain continuity and integrity of medical education in the midst of disruption caused by the Covid-19 pandemic. However, there are concerns regarding achievement of competence by undergraduate medical students due to inadequate clinical exposure. We explored the focus of initiatives from medical educators in India by a scoping review of published articles on developments in medical education during the pandemic to map concepts, main sources and the literature available in PubMed. Methods We did this scoping review of published articles in PubMed database in four steps: (i) identification of research questions; (ii) identification of relevant studies; (iii) selection of studies meeting inclusion and exclusion criteria, and charting of data; and (iv) collating the summary and reporting of results. Manual content analysis was done to derive frequencies of variables. Results Of the 52 articles identified, 22 met the requirements. Most studies (68.2%) were published in 2020. Half of the studies were conducted among undergraduate students and the remaining among postgraduates (27.3%), faculty (18.2%) and interns (4.5%). All the studies were evaluations at Kirkpatrick level-1 (18; 81.8%) and level-2 (4; 18.2%). Most of the studies (9, 41%) focused on exploration of perspectives about online learning among students and faculty, 9 (27.3%) on teaching- learning, 4 (18.2%) on formative assessment and 3 (13.6%) on summative assessment. Conclusions Most studies were evaluations at Kirkpatrick level-1 and level-2 among undergraduate medical students with a focus on conceptual understanding.","PeriodicalId":49782,"journal":{"name":"National Medical Journal of India","volume":"35 4","pages":"243-246"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0