The National medical journal of India最新文献_第5页

Addressing disparities in rural and remote access for rheumatology practice through a transformative tele-healthcare delivery system: Experience of a large cohort of patients in eastern India. 通过变革性远程医疗保健服务系统解决农村和偏远地区风湿病诊疗的差距：印度东部一大批患者的经验。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_182_2022

Bidyut Kumar Das, Manoj Kumar Parida, Saumya Ranjan Tripathy, Sarit Sekhar Pattanaik, Sanjay Kumar Yadav, Saroj K Mishra

{"title":"Addressing disparities in rural and remote access for rheumatology practice through a transformative tele-healthcare delivery system: Experience of a large cohort of patients in eastern India.","authors":"Bidyut Kumar Das, Manoj Kumar Parida, Saumya Ranjan Tripathy, Sarit Sekhar Pattanaik, Sanjay Kumar Yadav, Saroj K Mishra","doi":"10.25259/NMJI_182_2022","DOIUrl":"10.25259/NMJI_182_2022","url":null,"abstract":"Background We present the experience of telerheumatology consultation services carried out in an eastern state of India. Methods We did this prospective, observational study of patients with rheumatological disorders and followed through telemedicine between December 2015 and May 2019. Results During the study period, we provided teleconsultation to 3583 patients with the help of 11 201 telemedicine visits. Patients resided at a median distance of 248 (13 to 510) km from the telemedicine hub. The cumulative savings of the patients as a result of this service were ₹2.4 crore (24 million). The median travel time saved was 7 hours (30 minutes to 12 hours) per patient per visit and a median of ₹6700 was saved per visit per patient. Conclusion Sustained efforts over a long period can lead to the delivery of essential rheumatology services via telemedicine to an under-priviledged population, reduce the financial burden of the poor, and help women to access healthcare services in remote parts of low- and middle-income countries (LMICs).","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121551","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

Herpes zoster triggered by ChAdOx1 nCoV-19 coronavirus vaccine (recombinant). ChAdOx1 nCoV-19 冠状病毒疫苗（重组）引发的带状疱疹。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_456_21

Neethu Mary George

引用次数: 0

Influence of social media on health-related decision-making among adults attending an outpatient department of a tertiary care centre in India: A cross-sectional analytical study. 社交媒体对印度一家三级医疗中心门诊部就诊成年人健康相关决策的影响：一项横断面分析研究。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_821_2021

Tanveer Rehman, Ajay Mallick, Tandra Ghosh, Farhad Ahamed

{"title":"Influence of social media on health-related decision-making among adults attending an outpatient department of a tertiary care centre in India: A cross-sectional analytical study.","authors":"Tanveer Rehman, Ajay Mallick, Tandra Ghosh, Farhad Ahamed","doi":"10.25259/NMJI_821_2021","DOIUrl":"10.25259/NMJI_821_2021","url":null,"abstract":"Background Social media platforms, especially Facebook and WhatsApp, can spread public health information effectively. We aimed to estimate the influence of health-related messages circulated through these social media platforms on health-related decision-making and its associated factors. Methods We did a cross-sectional analytical study among adults (aged >18 years) who visited the outpatient department of a tertiary care hospital in suburban West Bengal, during July-September 2021. A structured questionnaire was used regarding receiving health-related messages on social media and the subsequent effect on health-related decision-making in the past year. Results A total of 673 individuals participated in the study. Their mean (SD) age was 34.4 (10.2) years and 56.8% (382) were men, 50.8% (342) were graduates, 63.6% (428) were from rural areas and 82.9% (558) were active users of more than one social media platform. A total of 474 (70.4%; 95% CI 67.0-73.9) study participants reported health-related decision-making based on social media messages, whereas 44.7% (301) reported checking the authenticity of forwarded messages or posts or updates with healthcare professionals before making a decision. On adjusted analysis, participants who had secondary education (adjusted prevalence ratio [aPR] 1.40; 95% CI 1.01-1.94), used both the media (aPR 1.31; 95% CI 1.09-1.58) and checked the authenticity of the messages with a healthcare professional (aPR 1.52, 95% CI 1.38-1.68) were significantly more influenced by the messages, posts or updates received on social media platforms. Conclusion WhatsApp forwards or updates and Facebook posts or updates influence health-related decision-making among the Indian adult population.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121560","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

Medical education in Hindi and indigenous languages in India: Issues and challenges. 印度印地语和土著语言医学教育：问题与挑战。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_983_2022

Rajesh Garg

引用次数: 0

The association between Behçet disease activity and elevated systemic immune-inflammation index: A retrospective observational study in a tertiary care hospital. 贝赫切特病活动性与全身免疫炎症指数升高之间的关联：一家三级医院的回顾性观察研究。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_212_2022

Dilek Mentesoglu, Nilgün Atakan

{"title":"The association between Behçet disease activity and elevated systemic immune-inflammation index: A retrospective observational study in a tertiary care hospital.","authors":"Dilek Mentesoglu, Nilgün Atakan","doi":"10.25259/NMJI_212_2022","DOIUrl":"10.25259/NMJI_212_2022","url":null,"abstract":"Background The systemic immune-inflammation index (SII) is a novel marker for predicting the prognosis in patients with various diseases and cancers. We aimed to investigate the relationship between SII and disease activity in patients with Behçet disease (BD). Methods Our retrospective study included 513 patients with BD aged ≥18 years. The patients were classified into an active group (n=355) and an inactive group (n=158). Pearson correlation analysis was performed to elucidate correlations between the SII and other markers. Binary logistic regression analysis was used to determine BD-related risk factors. Receiver operating characteristic (ROC) curves were computed to assess cut-offs for the predictive value of the SII and other markers. Results Patients with active BD had a significantly higher SII (p<0.001) than those in the inactive group. ROC analysis revealed that the optimal SII cut-off value to identify BD activity was 526.23, with 70.4% sensitivity and 70.3% specificity. Pearson correlation coefficient (r) demonstrated a significant positive correlation between SII, and the C-reactive protein level (r=0.427, p<0.001), erythrocyte sedimentation rate (r=0.422, p<0.001), platelet- lymphocyte ratio (r=0.711, p<0.001), and neutrophil- lymphocyte ratio (r=0.672, p<0.001). According to binary logistic regression analysis, the SII (odds ratio [OR] 1.003; 95% confidence interval [CI] 1.001-1.004; p=0.002) was an independent risk factor for active BD. Conclusion The SII can be considered a novel predictor of BD activity.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121565","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

Achalasia: Pinstripe pattern. Achalasia：细条纹图案

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_144_2023

Yusaku Kajihara

引用次数: 0

The Epidemic Diseases Act (1897): A study of international and domestic pressures on British epidemic policy formation in India. 流行病法案》（1897 年）：关于英国在印度制定流行病政策所面临的国际和国内压力的研究。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_420_2023

Pratima Yadav, Muraleedharan V R

{"title":"The Epidemic Diseases Act (1897): A study of international and domestic pressures on British epidemic policy formation in India.","authors":"Pratima Yadav, Muraleedharan V R","doi":"10.25259/NMJI_420_2023","DOIUrl":"10.25259/NMJI_420_2023","url":null,"abstract":"The Epidemic Diseases Act (EDA) was enacted in February 1897 by the Government of India to prevent and control the spread of the plague. Since then, the Act has become a key legal tool for the control of epidemics/pandemics in India. We attempted to understand the international and domestic pressures that led to the adoption of the EDA in three ways. First, we analyse the legislative structure (Bombay Municipal Act of 1888, Indian Railways Act of 1890, and Act I of 1870) that dealt with infectious or contagious diseases in colonial India before the EDA came into force. Second, we focus on the linkages between international and domestic pressures that necessitated the adoption of the EDA. Third, we analyse the discussions of the Council of the Governor General of India on the bill titled 'A Bill to Provide for the better prevention of the spread of Dangerous Epidemic Diseases', which later became the Epidemic Diseases Act No. III of 1897. We situate the EDA in an international context of International Sanitary Conferences, quarantine, trade concerns, and pilgrimage to Mecca in order to understand the pressures that impacted British epidemic policy formation in colonial India.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121566","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

Book Review: I'm alive . . . for now. 书评：我还活着......暂时还活着。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_574_2024

M K Mani

引用次数: 0

Stigma and discrimination by healthcare providers towards patients diagnosed with HIV and tuberculosis: A study from India. 医疗服务提供者对确诊为艾滋病毒感染者和肺结核患者的羞辱和歧视：印度的一项研究。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_1000_2022

Archana Siddaiah, Krishnamachari Srinivasan, Elsa Heylen, Maria L Ekstrand

{"title":"Stigma and discrimination by healthcare providers towards patients diagnosed with HIV and tuberculosis: A study from India.","authors":"Archana Siddaiah, Krishnamachari Srinivasan, Elsa Heylen, Maria L Ekstrand","doi":"10.25259/NMJI_1000_2022","DOIUrl":"10.25259/NMJI_1000_2022","url":null,"abstract":"Background High levels of human HIV and tuberculosis (TB) stigma have been reported among healthcare workers (HCWs). Methods We compared HIV and TB stigma scores reported by nursing students and ward staff from hospitals across India. Transmission worry (TW) and intent to discriminate (ID) for HIV and TB were captured using a validated stigma scale. Results A total of 3733 individuals were interviewed. Nursing students and ward staff expressed higher TW while carrying out high- and low-risk tasks on patients with HIV compared to TB. Mean scores were 2.1 and 1.86 among nursing students; 1.82 and 1.79 among ward staff (all p<0.001). Both groups expressed a significantly higher ID against patients with HIV compared to TB (mean percentage: 75.6 and 70.3 among nursing students; and 81.8 and 78.8 among ward staff; all p<0.001). Conclusion TB stigma has implications for providing quality TB care. Training of HCWs regarding transmission dynamics, the importance of standard precautions during patient care, regardless of diagnosis is essential.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11477220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EMPULSE trial: Time to use SGLT-2 inhibitors in acute heart failure? EMPULSE 试验：是时候在急性心力衰竭中使用 SGLT-2 抑制剂了吗？

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_1190_2023

Shubhajeet Roy, Mehul Saxena, Akshyaya Pradhan

引用次数: 0