The National medical journal of India最新文献_第6页

Membranous tonsillitis: Aetiology, prevalence and prescribing patterns in patients with upper respiratory tract infection. 膜性扁桃体炎：上呼吸道感染患者的病因、发病率和处方模式。

The National medical journal of India Pub Date : 2024-03-01 DOI: 10.25259/NMJI_690_21

Yilmaz Seçilmis

{"title":"Membranous tonsillitis: Aetiology, prevalence and prescribing patterns in patients with upper respiratory tract infection.","authors":"Yilmaz Seçilmis","doi":"10.25259/NMJI_690_21","DOIUrl":"10.25259/NMJI_690_21","url":null,"abstract":"Background Membranous tonsillitis is one of the most common forms of acute tonsillitis in childhood. Although many different microorganisms may cause this disease, clinicians generally consider bacterial agents as a possible cause and prescribe a penicillin-group of antibiotic. This study aimed to determine the aetiology of membranous tonsillitis and prescribing errors. In addition, we investigated the effectiveness of epidemiological, clinical and laboratory parameters and their role in guiding treatment. Methods We did this retrospective study at the paediatric emergency department of a tertiary referral hospital including 423 outpatient children aged 0 to 18 years diagnosed with membranous tonsillitis. Results Group A beta-haemolytic streptococcus was found in 132 (31.2%) patients, Epstein-Barr virus (EBV) in 103 (24.3%), and other viral aetiologies in 188 (44.4%). The prescription rate of antibiotics in the EBV-positive group was 27%, and Downey cells were seen at a rate of 98% in this group. Only 7% of patients with a positive throat culture were started on appropriate antibiotics. Conclusion EBV and group A beta-haemolytic streptococcus were the most common causes of membranous tonsillitis. Throat culture and peripheral blood smears are the most useful tests for paediatric emergency clinicians; these are fast and can help ensure correct diagnosis and guide treatment in almost all patients.","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":"142121563","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

Prevalence, risk factors and genotype distribution of human papillomavirus infection among women with and without invasive cervical cancer: Findings from a hospital-based study in Bihar, India. 患有和未患有浸润性宫颈癌的妇女中人类乳头瘤病毒感染的流行率、风险因素和基因型分布：印度比哈尔邦一项基于医院的研究结果。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_634_21

Sangeeta Pankaj, Jyotsana Rani, Pratibha Kumari, Kavya Abhilashi, Vijayanand Choudhary, Satya Kumari, Shivendra Kumar Shahi, Babban Jee

{"title":"Prevalence, risk factors and genotype distribution of human papillomavirus infection among women with and without invasive cervical cancer: Findings from a hospital-based study in Bihar, India.","authors":"Sangeeta Pankaj, Jyotsana Rani, Pratibha Kumari, Kavya Abhilashi, Vijayanand Choudhary, Satya Kumari, Shivendra Kumar Shahi, Babban Jee","doi":"10.25259/NMJI_634_21","DOIUrl":"https://doi.org/10.25259/NMJI_634_21","url":null,"abstract":"Background Human papillomavirus (HPV) infection is largely responsible for the development of invasive cervical cancer (ICC). Its prevalence, risk factors and genotype distribution among women residing in Bihar (third most populous Indian state) with and without ICC are not well known. Methods In this hospital-based study, we followed up 1439 participants with cytology and HPV report. HPV detection and genotyping were performed using the TaqMan-based real-time PCR method. Clinical and sociodemographic data were collected and analysed using statistical methods. Results The overall prevalence of HPV infection was 37.3% (537/1439) and 11 different types of HPV genotypes were observed. Higher HPV positivity was found in premalignant, intraepithelial and invasive malignant lesions of the cervix; 73.8% (93/126) of atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion (ASC-H) and high-grade squamous intraepithelial lesions (HSIL) and 93.4% (114/122) of invasive malignancies were infected with HPV in comparison to only 26.1% (245/938) of negative for intraepithelial lesion or malignancy (NILM) cytology. Moreover, HPV was found in 95.2% (236/248) of histologically confirmed cases of carcinoma cervix. HPV16 and HPV18 infections were reported in 78.2% (194/248) and 8.9% (22/248), respectively. The remaining patients had infection with other high-risk strains/co-infection with multiple strains or were HPV-negative. Various socio-demographic factors including women >50 years of age, >10 years of marriage and high parity were significantly associated with HPV infection. Conclusion Our data suggest that HPV16 infection may be the major cause for ICC among women residing in Bihar. Our findings may serve as a baseline for developing an appropriate screening and vaccination strategy for Bihar.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891531","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

Camphor poisoning in an adult: Seizures manifesting as 'mis-purposed' drug effect. 成人樟脑中毒：表现为 "误用 "药物效应的癫痫发作。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_2_21

Ankit Kumar Sahu, Sonika Rathoor

引用次数: 0

Landolfi sign: Looking beyond what your eyes can see. Landolfi 标志：超越眼睛所见

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_1070_2022

Devesh Chaudhary, Satyavir Yadav

引用次数: 0

Design and development of an arena blended connected learning model for faculty development in health professions education: A step forward. 设计和开发用于卫生专业教育师资发展的竞技场混合连接学习模式：向前迈进了一步。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_441_2022

Annie Sheeba John, Nalini Y C, Anitha Nancy, Jasmine Jaideep Rayapudi, Punnose Kurian Kattil, Bhavani Krishnamurthy, Shivasakthy Manivasakan, Nilakantan Ananthakrishnan, B V Adkoli

{"title":"Design and development of an arena blended connected learning model for faculty development in health professions education: A step forward.","authors":"Annie Sheeba John, Nalini Y C, Anitha Nancy, Jasmine Jaideep Rayapudi, Punnose Kurian Kattil, Bhavani Krishnamurthy, Shivasakthy Manivasakan, Nilakantan Ananthakrishnan, B V Adkoli","doi":"10.25259/NMJI_441_2022","DOIUrl":"https://doi.org/10.25259/NMJI_441_2022","url":null,"abstract":"Current medical education and clinical practice has led to a need for advanced faculty development for medical teachers to effectively play the role of educators, researchers and administrators. There is large variability in the teaching programmes across countries, which range from a one-time activity to regularly scheduled workshops and seminars, to a highly advanced course spanning a few months to a year. Several healthcare institutes around the world offer faculty training programmes in health professions education, where the curriculum varies in design as they are developed and implemented by their own institutional body or education unit. Following a discussion of arena blended connected (ABC) learning design during a faculty training programme (Postgraduate Diploma in Health Professions Education) and the subsequent move towards an online approach to education due to the pandemic in 2019, the advisory faculty and students started to envision designing the already existing Postgraduate Diploma in Health Professions Education curriculum along the ABC model favouring blended and outcome-based education. Criteria were set for each topic with clearly defined learning levels to be implemented and the frequency of implementation. We describe the design and development of a curriculum for faculty development of health professions education using the ABC model.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891520","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

Physician-medical manufacturing industry relationships: Perceptions of medical students. 医生与医药制造业的关系：医学生的看法。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_328_2023

Avneet Kaur, Simerjit Singh, Harmanpreet Singh

{"title":"Physician-medical manufacturing industry relationships: Perceptions of medical students.","authors":"Avneet Kaur, Simerjit Singh, Harmanpreet Singh","doi":"10.25259/NMJI_328_2023","DOIUrl":"https://doi.org/10.25259/NMJI_328_2023","url":null,"abstract":"Background Physicians and the medical manufacturing industry (MMI) are closely associated and may have some form of financial or business arrangement. Research has highlighted that these interactions negatively impact physicians' prescribing behaviour. We tried to explore medical students' perspectives regarding these interactions. Methods We did a questionnaire-based survey to capture the demographic information and included five yes-or-no questions with two possible answers that probed the participants' awareness. Statements (26 Likert-style questions) describing various physician-industry interactions were formulated based on previous research. Excel was used to gather the data, and SPSS v 25.0® for Windows was used to analyse it. Frequencies and percentages (qualitative variables) and means and standard deviations were used to present descriptive statistics (quantitative variables). The associations between the independent variables and awareness were examined using chi-square test. Results About 40% of students knew doctors and MMI work together, but only 6% knew there were rules about accepting gifts from MMI. Eighty-four per cent of respondents felt free samples from MMI were an excellent way to learn about new products. The prevalence of awareness was higher in interns/housemen (51.6%) compared to medical students (35.9%). Most (43%) of the participants preferred an online database as a method of disclosure. Conclusions Our findings indicated students' knowledge gaps regarding ethical considerations and recommended guidelines regarding the relational dynamics of medical practitioners and MMI. Students should be taught appropriate conduct and best practices and must strive to develop skepticism towards MMI marketing claims. This may be achieved by implementing various educational interventions in the medical curriculum.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891530","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

Cortical versus nuclear lenticular fluid. 皮质透镜液与核透镜液。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_1069_2022

Amber Amar Bhayana, Sudershan Khokhar

引用次数: 0

Health impact of screen addiction: A cross-sectional comparative study. 屏幕成瘾对健康的影响：横断面比较研究

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_344_2022

Shirish Ravichandra Rao, Pauras Pritam Mhatre, Amey Abhijit Ambike, Shilpa Amit Adarkar, Vidushi Gupta, Raghav Mandar Paranjape, Prashant Harish Saraf, Shreeya Kuldeepsing Raul, Esha Suresh Kadam

{"title":"Health impact of screen addiction: A cross-sectional comparative study.","authors":"Shirish Ravichandra Rao, Pauras Pritam Mhatre, Amey Abhijit Ambike, Shilpa Amit Adarkar, Vidushi Gupta, Raghav Mandar Paranjape, Prashant Harish Saraf, Shreeya Kuldeepsing Raul, Esha Suresh Kadam","doi":"10.25259/NMJI_344_2022","DOIUrl":"https://doi.org/10.25259/NMJI_344_2022","url":null,"abstract":"Background Prevalence-based, non-comparative studies have been done to assess psychological and physical consequences of social media and gaming addiction. However, similar studies are lacking for binge-watching, especially in India. We compared the physical and psychological health impact between screen addicted and healthy screen users, by minimizing bias due to confounding factors. Methods We did this cross-sectional comparative study among 120 participants (60 cases and 60 matched controls) consisting of gamers, social media users and binge-watchers, who were recruited from schools and colleges of Mumbai based on their scores on the Digital Addiction Scale (DAS). Levels of depression, anxiety and stress; sleep quality; and dry eye disease were assessed using pre-validated scales such as DASS-21, Pittsburgh Sleep Quality Index (PSQI), and Ocular Surface Disease Index (OSDI), respectively, while the other variables were assessed using a self-designed questionnaire with a content validity ratio (CVR) >0.65. Results The mean (SD) age of the participants was 19.3 (3.2) years, one-third were women; 68% were from medical colleges and 16% each from engineering colleges and high schools. The prevalence and scores of depression, anxiety and stress; poor sleep quality; and dry eye disease; and prevalence of loneliness, aggression and musculoskeletal pain in the wrist, thumb, neck and back were significantly higher in the screen addicted group (p<0.05). Conclusions There was a significant difference in the prevalence and levels of physical and psychological health impact between screen addicted and healthy screen users.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891523","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}

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News from here and there. 这里和那里的新闻

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_37_1_57

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Book Reviews: Toolbox for Assessment of Clinical Competence. Principles of Medical Education. 书评：临床能力评估工具箱》。医学教育原理》。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_121_2024

Anu Sachdeva

引用次数: 0