IMC Journal of Medical Science最新文献

{"title":"Preferences and perceptions of MBBS students towards blended learning in medical education","authors":"Mohd Yasir Zubair, Absar Ahmad, Sameena Ahmad, Saira Mehnaz, U. Eram, Ragul Jayaprakasam Satyamoorthy, Zeeshan Ahmad","doi":"10.55010/imcjms.18.009","DOIUrl":"https://doi.org/10.55010/imcjms.18.009","url":null,"abstract":"Introduction: With the advent of COVID-19 pandemic there has been a rapid shift in the mode of delivering education. A swift transition from place-based offline classes to virtual online learning platforms has emerged during the pandemic. The present study explored the acceptance, perceptions and preferences of blended learning among medical undergraduate students. Methods: MBBS undergraduate students of second and final professional (Part I & II) phases from Jawaharlal Nehru Medical College, AMU, Aligarh, UP were enrolled in the study. We studied acceptance, perception and preferences regarding blended mode of learning of MBBS students using online Google Form. Semi structured questionnaire was drafted by the research team, based on thorough and critical review of pertinent literature and other similar survey tools. Each item was discussed separately and changes were made where required. Then, it was transformed to an online form through Google Forms. Results: Out of a total of 432 students, more than 3/4th of students (78.2%) believed that combined approach would lead to improvement in learning. Around half (53.6%) of the female students were relying predominantly on offline learning compared to 37.0% of male students (p = 0.004). Flexible schedule and personal convenience was reported as the most common benefit of online learning while lack of interaction with peers and connectivity issues were found to be the major disadvantages. Conclusion: Majority of the students echoed a positive attitude towards blended mode of teaching and learning. Medical education is largely demonstration and application based for acquiring skills. Therefore, a combined approach where the theoretical aspect of the curriculum is made online, might offer a more convenient, flexible and effective alternative way of teaching and learning. IMC J Med Sci. 2024; 18(1):009. DOI: https://doi.org/10.55010/imcjms.18.009 *Correspondence: Mohd. Yasir Zubair, Department of Community Medicine, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India. Email: yasmuhsin@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"44 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139162034","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":"Impaired polymorphonuclear neutrophil functions in diabetics","authors":"Tanzinah Nasrin, Nurun Nahar Faizunnesa, Sraboni Mazumder","doi":"10.55010/imcjms.18.008","DOIUrl":"https://doi.org/10.55010/imcjms.18.008","url":null,"abstract":"Background and objectives: Polymorphonuclear neutrophils (PMN) are the first line of host resistance against infections. Diabetics are prone to both bacterial and fungal infections. The present study evaluated the phagocytic and killing activity of PMN in diabetics.\u0000\u0000Material and methods: Females aged 30 to 50 years with and without diabetes mellitus were enrolled. Functions of PMN were assessed by determining the phagocytic rate, phagocytic index and killing of C. albicans by PMN.\u0000\u0000Results: A total of 36 diabetic patients and 15 age matched non-diabetic healthy individuals were enrolled. Phagocytosis and killing of C. albicans by PMN were significantly (p<0.05) lower in patients with diabetes mellitus compared to non-diabetic healthy individuals (86.5±14.6 vs. 94.5±4.2; 56.7±23.8 vs. 81.5±24.2).\u0000\u0000Conclusion: Phagocytic and killing functions of PMN were significantly reduced in patients with diabetes mellitus.\u0000\u0000IMC J Med Sci. 2024; 18(1):008. DOI: https://doi.org/10.55010/imcjms.18.008\u0000\u0000*Correspondence:Tanzinah Nasrin, Microbiologist, Quality Control Laboratory, Department of Fisheries, Ministry of Fisheries and Livestock, Dhaka, Bangladesh. Email: tanzinahn8@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"99 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600045","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":"Impact of COVID-19 pandemic on the physical, mental and social health of the suburban and rural adult population in Bangladesh","authors":"Nehlin Tomalika, Rishad Mahzabeen, Md Mohiuddin Tagar, Sadya Afroz, Naima Ahmed, M. Mohsena, Rashid-E Mahbub, MA Sayeed","doi":"10.55010/imcjms.18.007","DOIUrl":"https://doi.org/10.55010/imcjms.18.007","url":null,"abstract":"Background and objectives: The COVID-19 pandemic caused a significant impact on health worldwide. Adverse effect of COVID-19 on health-related quality of life is significant. This study aimed to find out the impact of COVID-19 on the physical, mental and social health of suburban and rural adult population in Bangladesh.\u0000\u0000Methods: A suburban and a rural community were purposively selected. The suburban and rural areas were located about 40 km and 130 km north and north-east of Dhaka city respectively. People aged ≥20 years in the selected communities were enrolled in the study. The investigation procedure included socio-demographic and clinical history, anthropometry, and clinical examination and laboratory investigations. Depression, Anxiety and Stress Scale-21 (DASS-21) and 36-Item Short Form Health Survey (SF-36) questionnaires were used for assessing mental and social health respectively. Knowledge, attitude and practice (KAP) regarding the prevention and transmission of COVID-19 was assessed by a validated questionnaire and interview.\u0000\u0000Results: Total 385 individuals (suburban=201, rural=184) were enrolled in the study. Out of 385, 116 and 269 were male and female, respectively. Out of total 385 participants, depression, anxiety and stress were present in 113 (29.4%), 144 (37.4%) and 70 (18.2%) respectively, while 210 (54.5%) were normal. Extremely severe depression, anxiety and stress were present in 3.6%, 6% and 0.5%, respectively. Depression and anxiety did not differ between suburban and rural populations, though stress was significantly higher among the suburban (p<0.05) population. Social functioning was limited in more than 50% as opposed to excellent (5.5%) or good (39.8%). Almost 60% of the participants had to cut-down schedule of heavy work. Moderate to minimal physical activities were less affected, though weakness and nervousness predominantly hindered socialization. About the prevention and transmission of COVID-19, awareness and attitude were found satisfactory (≥45%), though practice was neglected (<30%).\u0000\u0000Conclusions: This is the first study in Bangladesh to report the impact of the COVID-19 pandemic on the physical, mental, and social health of adult suburban and rural populations. Physical and mental disabilities were evident among the studied people. Social functioning was affected by COVID-19 equally in suburban and rural participants. A well-designed cohort study is needed to obtain a real picture of the impact of COVID-19 pandemic on human health and society.\u0000\u0000IMC J Med Sci. 2024; 18(1):007. DOI: https://doi.org/10.55010/imcjms.18.007\u0000\u0000*Correspondence: MA Sayeed, Department of Community Medicine and Public Health, Ibrahim Medical College, 1/A Ibrahim Sarani, Segunbagicha, Dhaka 1000, Bangladesh; Email: sayeed1950@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"28 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605357","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":"Association between serum bilirubin and estimated glomerular filtration rate in diabetic patients with chronic kidney disease","authors":"Tanzia Tahfim, Gazi Sharmin Sultana, Mst. Hasnat Silvi Era, Farjana Yesmin, Rehana Afroze Ruma, Laila Sultana","doi":"10.55010/imcjms.18.006","DOIUrl":"https://doi.org/10.55010/imcjms.18.006","url":null,"abstract":"Background and objectives: Hyperglycemia induces oxidative stress in diabetic patients by increasing reactive oxygen species production, which ultimately damage the cells and cause micro and macrovascular complications including diabetic nephropathy. Increased serum bilirubin level, within physiological range, can inhibit oxidative stress; thereby, preventing development of diabetic nephropathy. The aim of this study was to find out association between serum bilirubin and estimated glomerular filtration rate (eGFR) in diabetic patients with or without chronic kidney disease (CKD). Materials and method: Both male and female participants aged 30 to 60 years were enrolled in the study. Enrolled participants included healthy individuals (Group-1), diabetic patients without CKD (Group-2) and diabetic patients with CKD (Group-3). Clinical and biochemical parameters namely blood pressure, body mass index (BMI), fasting blood glucose (FBG), HbA1c, eGFR, serum bilirubin and spot urine ACR were measured by appropriate methods. Pearson’s correlation coefficient, ANOVA and multiple linear regression models were used to analyze the data. Result: Total 189 respondents were enrolled in 3 study groups. Each group consisted of 63 cases. Of the 63 cases in Group-3, 49 and 14 belonged to CKD stage 3 and stage 4 respectively. The mean (± SD) serum bilirubin levels of healthy individuals, diabetic patients without CKD and diabetic patients with CKD were 0.66 ± 0.31, 0.64 ± 0.21, 0.46±0.18 mg/dL respectively. Mean serum bilirubin was significantly low (p<0.001) in diabetic patients with CKD compared to healthy and diabetics without CKD. A Stepwise multiple regression analysis using eGFR as an objective variable adjusted for risk factors as explanatory variables, showed that serum bilirubin (β=0.323, p<0.001) was significantly associated with eGFR, in addition to age, BMI, HbA1c and urinary ACR. Conclusion: The study has demonstrated that low serum bilirubin level is associated with CKD in diabetic patients and it could be used as a simple marker for CKD in diabetics. IMC J Med Sci. 2024; 18(1):006. DOI: https://doi.org/10.55010/imcjms.18.006 *Correspondence: Tanzia Tahfim, Department of Biochemistry, Shaheed Monsur Ali, Medical College, Uttara, Dhaka-1230, Bangladesh. Email: tanzia.uamc@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"2 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392296","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":"Nasal carriage of methicillin and inducible clindamycin resistant Staphylococcus aureus among healthcare workers in a tertiary care hospital, Kathmandu, Nepal","authors":"Gaurab Pandey, Ashrit Sharma Ghimire, Luniva Maharjan, Binita Maharjan, Ashmita Upadhaya, Anita Sah","doi":"10.55010/imcjms.18.005","DOIUrl":"https://doi.org/10.55010/imcjms.18.005","url":null,"abstract":"Introduction and Objectives: Transmission of methicillin-resistant Staphylococcus aureus (MRSA) from healthcare workers is one of the most frequent causes of nosocomial infections globally. There is a significant burden of nosocomial MRSA infections in low and low-middle income countries (LMICs), including Nepal. The present study investigated the rate of nasal carriage of MRSA among the healthcare workers in a tertiary care hospital, in Kathmandu, Nepal with emphasis on inducible macrolide-lincosamide-streptogramin B (iMLSB) resistance. Material and method: The study was conducted at Star Hospital, Lalitpur, Nepal, from September 2022 to November 2022. Healthcare workers (HCWs) working at the diffeerent departments of the hospital were enrolled. Nasal swabs from both anterior nares of HCWs were collected aseptically and cultured on Mannitol Salt agar. S. aureus was identified by Gram stain and standard biochemical tests. Antibiotic susceptibility of S. aureus was performed by disc diffusion method. MRSA isolates were detected phenotypically by disc diffusion method using cefoxitin disc (30 µg), and inducible clindamycin resistance was detected phenotypically by the D-zone test. Results: Total 105 HCWs were enrolled in the study. Out of 105 HCWs, 14 (13.3%) were positive for S. aureus among which 6 (5.7%) were MRSA carriers. The nasal carriage of MRSA was highest among doctors (16.7%) and the HCWs of the post-operative department (14.3%). All the isolated MRSA were susceptible to chloramphenicol and vancomycin. Inducible MLSB resistance was detected in 33.3% MRSA while the rate was 21.4% in all isolated S. aureus. Conclusion: The study demonstrated that HCWs could be the potential source of nosocomial infection by methicillin and inducible clindamycin resistant S. aureus. Thus, preventive measures should be initiated to mitigate the risk of its spread and the test for detection of inducible clindamycin resistance should be incorporated into the routine antibiotic susceptibility testing in hospital settings. IMC J Med Sci. 2024; 18(1):005. DOI: https://doi.org/10.55010/imcjms.18.005 *Correspondence: Gaurab Pandey, Non-Communicable Disease Laboratory, National Public Health Laboratory, Teku, Kathmandu, 44600, Nepal; E-mail: pandeygaurab67@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"31 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135461073","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":"Clinically significant minor blood group antigens amongst South Indian donor population","authors":"Soonam John, Archana Kuruvanplackal Achankunju, Madathingal Sugathan Suma, Sasikala Nadanganan","doi":"10.55010/imcjms.18.004","DOIUrl":"https://doi.org/10.55010/imcjms.18.004","url":null,"abstract":"Background and objectives: Distribution of blood group antigen varies among different races. It is important to know the distribution of these antigens so as to provide a donor database that aid in providing compatible blood units for patients with multiple alloantibodies. The present study was conducted to determine the distribution of clinically significant minor blood group antigens amongst the South Indian blood donors. Materials and methods: Blood samples were collected from healthy regular repeat voluntary blood donors of same ethnicity attending a tertiary care hospital in South Kerala. Clinically significant blood antigens of the ABO, Rh (D, C, c, E, and e), Kell, Duffy and Kidd blood group systems were determined. The ABO and Rh(D) grouping were performed by tube technique using monoclonal antisera. Column agglutination technique was used to phenotype Rh, Kell, Duffy and Kidd antigens. Results: Total 200 healthy repeat voluntary blood donors were enrolled in the study. Out of 200 donors, 92% were RhD positive. Among the Rh antigens, the e antigen was positive in 97.8 % and 100% among the Rh(D) positive and Rh(D) negative donors respectively. No E antigen was detected in RhD negative donors. Total 6 and 2 Rh phenotypes were observed among the Rh(D) positive and negative donors respectively. R1R1 and Rr were the most frequent phenotypes among the RhD positive and negative donors (47.28% and 93.75%) respectively. Among the Kell blood group antigens, K and Kpb antigens were present in 100% of our donors while in Duffy and Kidd system Fya and Jka were most predominant (89% and 87%) respectively. Conclusions: The findings of the present study would be helpful in developing in-house panel cells. Moreover, a rare donor registry of donors typed negative for a high-frequency antigen can be formulated. IMC J Med Sci. 2024; 18(1):004. DOI: https://doi.org/10.55010/imcjms.18.004 *Correspondence: Soonam John, Department of Transfusion Medicine, Government Medical College, Parippally, Kollam, Kerala,India. Email: johnsoonam@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135886036","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":"Hall technique for the management of carious primary molar teeth among African children - a review","authors":"Obehi O Osadolor","doi":"10.55010/imcjms.18.003","DOIUrl":"https://doi.org/10.55010/imcjms.18.003","url":null,"abstract":"Background: Hall technique involves cementing preformed metal crowns or stainless steel crowns on the tooth with the use of luting glass ionomer cements, without the use of local anaesthesia, caries removal and tooth preparation of any kind. It can be an intervention to stop the progression of active untreated carious lesion in primary molar teeth among African children. This article reviews the available studies on Hall technique used for the management of carious primary molar teeth among African children.\u0000\u0000Method: An electronic literature search in Web of science, Scopus, PubMed, Google Scholar, African journals online, ResearchGate and Google was conducted in June, 2023 using the Population-Concept-Context framework. Search terms and keywords were combined by Boolean operators. Three independent investigators (research assistants) screened titles, abstracts and full text of publications. The inclusion criteria were original research articles, case report, case series related to Hall technique for the management of carious primary molar teeth studies conducted in African continent, published in English language and in electronic databases.\u0000\u0000Results: Four articles were included as they were assessed to meet the aim of the review. The study design of the articles was three randomised controlled clinical trial and one case report. One study was identified each from Egypt, Morocco, Nigeria and Sudan respectively. All the identified studies in African continent were hospital based.\u0000\u0000Conclusion: Hall technique can be an intervention for management of carious primary molar teeth in resource poor locality in Africa and globally. Studies on Hall technique for the management of carious primary molar teeth identified in Africa were few and restricted to few countries.\u0000\u0000IMC J Med Sci. 2024; 18(1):003. DOI: https://doi.org/10.55010/imcjms.18.003\u0000\u0000*Correspondence:Obehi. O Osadolor, University of Nigeria Teaching Hospital, Ituku- ozalla, Enugu State, Nigeria. E-mail: osadolorobehi@yahoo.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84869335","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":"Short-term and low-dose liraglutide plus metformin decreased body mass index and insulin resistance more than metformin alone in obese women with polycystic ovary syndrome: An open-label randomized controlled study","authors":"Ahmed Hossain, Hurjahan Banu, Md Shahed Morshed, Shazia Afrine","doi":"10.55010/imcjms.18.002","DOIUrl":"https://doi.org/10.55010/imcjms.18.002","url":null,"abstract":"Background and objectives: Reduction of weight improves different manifestations of polycystic ovary syndrome (PCOS). This study compared the effects of liraglutide plus metformin versus metformin alone on weight loss and metabolic profiles in obese women with PCOS.\u0000\u0000Methods: This open-label randomized controlled clinical trial consecutively recruited newly-diagnosed PCOS patients of reproductive age with obesity (body mass index ≥ 27.5 kg/m2). Following randomization into two equal groups, Group-1 received treatment with metformin 1000 mg daily alone while Group-2 was given metformin 1000 mg plus subcutaneous (SC) liraglutide 1.2 mg daily for 12 weeks. Anthropometric, biochemical and hormonal data and ovarian morphology were assessed at baseline and after 12 weeks. Clinical information and side effects were recorded every four weeks after initiation of the treatment. Glucose, lipids, and all hormones were analyzed by glucose oxidase, precipitation method, and chemiluminescent microparticle immunoassay respectively. Insulin resistance was measured by homeostatic model assessment (HOMA-IR).\u0000\u0000Results: Study included 30 participants comprising 15 for each group. Among 15 participants, 5 dropped out from the Group-1 and 1 dropped out from the Group-2. The final analysis was done among 24 participants (Gr-1: 10 and Gr-2: 14). Waist and hip circumference (WC, HC) significantly (p <0.05) decreased in patients treated with only metformin. Menstrual irregularity, BMI (body mass index), HC, systolic blood pressure (BP), 2h-OGTT glucose, fasting insulin, and HOMA-IR significantly (p < 0.05) decreased in the patients of Group-2 after 12 weeks compared to baseline status. Percentage changes of weight, BMI and HOMA-IR improved significantly (p < 0.05) in cases of Group-2 than those in Group-1. Side effects were though numerically higher in the Group-2 patients, but reduced with time.\u0000\u0000Conclusions: Addition of liraglutide with metformin was superior to metformin alone for lowering of BMI and insulin resistance among obese PCOS women with acceptable side effects.\u0000\u0000IMC J Med Sci. 2024; 18(1):002. DOI: https://doi.org/10.55010/imcjms.18.002\u0000\u0000*Correspondence: Muhammad Abul Hasanat, Room# 1524, Level-15, Block-D, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka-1000, Bangladesh. ORCID iD: orcid.org/0000-0001-8151-9792; Email: aryansowgat@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80437885","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":"How fatal can untreated constipation be?","authors":"Salih Karakoyun, Yasin Haydar Yartaşı, M. Demir, M. Boğan","doi":"10.55010/imcjms.18.001","DOIUrl":"https://doi.org/10.55010/imcjms.18.001","url":null,"abstract":"This case report discusses a patient who presented with dyspnea and presyncope following the Valsalva maneuver. The patient had a history of chronic constipation and experienced difficulty defecating, leading to vigorous straining. Upon arrival at the emergency department, the patient exhibited signs of cardiac tamponade and computed tomography(CT) scan revealed high-density pericardial hemorrhagic effusion. Pericardiocentesis and surgical decompression were performed to manage the tamponade. The patient's symptoms improved and discharged in stable condition. This case highlights the potential fatal complications of constipation, emphasizing the need for a holistic approach in cardiovascular care.\u0000\u0000IMC J Med Sci. 2024; 18(1):001. DOI: https://doi.org/10.55010/imcjms.18.001\u0000\u0000*Correspondence: Mustafa BOĞAN, Emergency Department, School of Medicine, Düzce University, Düzce, Turkey, Posta code: 81620; Email: mustafabogan@hotmail.com; ORCID: 0000-0002-3238-1827","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87880761","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":"Knowledge, attitude and practice regarding breast and cervical cancer among women of reproductive age residing in a rural area of West Bengal, India","authors":"K. Ray, Vanlaldiki Chhakchhuak, M. Basu, V. Shukla","doi":"10.55010/imcjms.17.021","DOIUrl":"https://doi.org/10.55010/imcjms.17.021","url":null,"abstract":"Background and objectives: Developing screening programmes to lower breast and cervical cancer morbidity and mortality requires a better knowledge of psychological, socioeconomic, and environmental variables that may affect screening behaviours. This study was conducted to assess the knowledge, attitude and practices regarding breast and cervical cancer among women of reproductive age group in a village in West Bengal, India.\u0000\u0000Materials and methods: A descriptive type of observational study was conducted in village Muchisa of Budge-Budge II block, West Bengal among 300 women from January to June 2022 using a pre-designed, pre-tested, structured schedule by face-to-face interview method. Data were analyzed using SPSS version 25.0 using suitable descriptive and inferential statistics.\u0000\u0000Results: The mean age of the study participants was 31.6 ± 7.4 years. Out of 300 women, 41.7% and 41.3% had adequate knowledge on breast and cervical cancer respectively. Regarding attitude, 57.3% and 75.3% had highly favourable attitude on breast and cervical cancer respectively. Only 38 (12.7%) had performed breast self-examination at least once whereas only 5.3% had undergone Pap smear test at least once before the survey. Socio-demographic and economic factors of the respondents were significantly (p<0.05) associated with knowledge on breast cancer while none of these factors were found to have statistically significant association with knowledge on cervical cancer.\u0000\u0000Conclusion: Most of the study population did not have adequate knowledge of breast and cervical cancer, their risk factors and symptoms. Their attitude was positive but practice related to screening was very unsatisfactory.\u0000\u0000IMC J Med Sci. 2023; 17(2):011. DOI: https://doi.org/10.55010/imcjms.17.021\u0000\u0000*Correspondence: Vineeta Shukla, Senior Resident, Department of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India; Email: vineeta1992@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87211823","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}