Current medical issues最新文献_第9页

Awareness of antibiotic resistance among medical students in Kerala State, India: A cross-sectional study 印度喀拉拉邦医科学生抗生素耐药性意识:一项横断面研究

Current medical issues Pub Date : 2022-10-01 DOI: 10.4103/cmi.cmi_69_22

A.Josephine Reena, Abraham M. Ittyachen

{"title":"Awareness of antibiotic resistance among medical students in Kerala State, India: A cross-sectional study","authors":"A.Josephine Reena, Abraham M. Ittyachen","doi":"10.4103/cmi.cmi_69_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_69_22","url":null,"abstract":"Background: Antibiotic resistance is a natural phenomenon, but its misuse has expedited resistance. One of the best measures to tackle antibiotic resistance in the community would be to educate medical students and create awareness among them regarding antibiotic resistance. The objectives of this study were to assess the level of awareness of antibiotic resistance among undergraduate medical students and to determine the factors affecting the awareness. Materials and Methods: This is a cross-sectional study using a structured questionnaire among undergraduate medical students from the 1st year to the 4th year. Results: Three hundred and fifty-four undergraduate medical students from the 1st year to the 4th year were enrolled. More than 80% of students were from the 18–22-year age group, and more than half were female. Only 56.2% of participants had adequate awareness of antibiotic resistance. The academic year was not significantly associated with the awareness. Age and gender also had no significant association. Parent's education, parent's occupation, parents being medical practitioners and family income also had no significant association. Conclusion: Awareness levels regarding antibiotic resistance among medical students were slightly above 50%. Moreover, it seems to be a worldwide phenomenon too. Further studies are recommended to evaluate the practices and attitudes regarding the same. A “catch them young” policy would be a good step to tackle antimicrobial resistance at its inception itself. Moreover, it should start at the local level. Similar studies can be conducted among medical practitioners and health-care workers and at the community level.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91109633","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

Marfan syndrome 马凡氏综合症

Current medical issues Pub Date : 2022-10-01 DOI: 10.4103/cmi.cmi_53_22

Arihant Seth, Ajay Mathur, Nitish Mathur, H. Pahadiya

引用次数: 0

Is it one or two? 是一个还是两个?

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_48_22

R. Iyadurai, O. Abraham

引用次数: 0

Prevalence of undiagnosed diabetic retinopathy among inpatients with diabetes at a tertiary care hospital in Jammu Region (Jammu and Kashmir), India 印度查谟地区(查谟和克什米尔)一家三级保健医院住院糖尿病患者中未确诊的糖尿病视网膜病变患病率

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_16_22

Arjumand Nazir, F. Wani, A. Jabeen

{"title":"Prevalence of undiagnosed diabetic retinopathy among inpatients with diabetes at a tertiary care hospital in Jammu Region (Jammu and Kashmir), India","authors":"Arjumand Nazir, F. Wani, A. Jabeen","doi":"10.4103/cmi.cmi_16_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_16_22","url":null,"abstract":"Background: One of the most devastating consequences of diabetes is diabetic retinopathy (DR), a condition that poses significant financial and health-care burdens on individuals, health-care systems, and the global economy. This study aims to estimate the prevalence of DR in the inpatient diabetic population in the tertiary care hospital of the Jammu region (Jammu and Kashmir). Methods: This cross-sectional study had men and women over 18 years admitted to Government Medical College, Jammu with type 1 or type 2 diabetes based on a previous physician diagnosis or hemoglobin A1C ≥6.5% (48 mmol/mol) and were eligible to participate. The exclusion criteria included type 1 diabetes diagnosed within the past 5 years. In addition, data on secondary risk factors for retinopathy were collected, such as duration, hemoglobin A1C, and associated comorbidities. Results: Seventy-eight patients with a known diagnosis of diabetes mellitus were included in this study. The majority of the study participants, 56.4% (44/78) were male and were in the age group of 40–60 years. The majority, 57.7% (45/78) participants, were unaware that DR could affect their vision. The prevalence of proliferative DR and clinically significant macular edema was 3.8% (3/78 each). Conclusion: Our study suggests an increased prevalence of DR in the study population, which seems to be a concern.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90273693","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

Chemotherapy-induced acute reversible toxic leukoencephalopathy 化疗引起的急性可逆性中毒性脑白质病

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_24_22

A. Vishnu, T. Pratap, D. Jacob, M. Jalal, Anupama Gopalakrishnabhakthan

引用次数: 1

Management of symptomatic posterior circulation flow aneurysms associated with agenesis of the internal carotid artery 伴有颈内动脉发育不全的症状性后循环动脉瘤的治疗

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_114_21

A. Padmanabhan, V. Moses, Munawwar Ahmed, Krishna Prabhu, Bijesh Nair, B. Joseph, S. Keshava

引用次数: 0

Clinicoetiological profile of acute ischemic stroke patients in the therapeutic window in a tertiary care hospital in Northern India 急性缺血性脑卒中患者在印度北部三级医院治疗窗口的临床病因学概况

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_20_22

A. Chandra, Maqbool Wani, A. Raina, Hilal Ganie, W. Dar, Arjimand Yaqoob, Ravouf Asimi

{"title":"Clinicoetiological profile of acute ischemic stroke patients in the therapeutic window in a tertiary care hospital in Northern India","authors":"A. Chandra, Maqbool Wani, A. Raina, Hilal Ganie, W. Dar, Arjimand Yaqoob, Ravouf Asimi","doi":"10.4103/cmi.cmi_20_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_20_22","url":null,"abstract":"Background: A stroke is defined by the rapid emergence of clinical symptoms and focuses on evidence (applicable to individuals in a deep coma and those with subarachnoid hemorrhage) or widespread brain damage. The study aimed to evaluate the clinical characteristics of patients with acute ischemic stroke in a tertiary care hospital in North India. Methods: By analyzing case files and conducting patient interviews, information on the patients was gathered and evaluated. The study's inclusion and exclusion criteria were based on the 2018 American Heart Association and American Stroke Association (AHA/ASA) thrombolysis guidelines for acute ischemic stroke. Recent major trauma or major surgery within 14 days not involving the head, seizure at the onset of stroke, systemic malignancy, and pregnancy were excluded. Results: The study enlisted the participation of 76 patients who were divided into two groups. Patients in the one group were given tenecteplase, whereas the other group were given alteplase. Patients in the tenecteplase and alteplase groups were of different ages and had various other risk factors for hypertension, atrial fibrillation, diabetes, smoking, and previous stroke or transient ischemic attack. The risk factor distribution in both the groups was statistically significant for variables such as hypertension and diastolic blood pressure (P < 0.05). Stroke in internal carotid artery territory was present in 3 out of 42 in the tenecteplase group and 2 out of 32 in the alteplase group. Most patients in both the groups had a stroke of undetermined cause. Small vessel and large vessel strokes were found in 9.5% and 14.7%, respectively. Conclusion: In the development of stroke, there is a definite relationship between age and gender. A sedentary lifestyle, food, and obesity are risk factors for stroke. According to an AHA/ASA drug utilization analysis, most medicines were appropriate for stroke patients.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90687722","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

The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study 预期气道困难病例中使用滑翔镜的创伤发生率-一项前瞻性观察研究

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_94_21

M. Jeyakumar, M. Abraham, Georgene Singh, T. Chandy

{"title":"The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study","authors":"M. Jeyakumar, M. Abraham, Georgene Singh, T. Chandy","doi":"10.4103/cmi.cmi_94_21","DOIUrl":"https://doi.org/10.4103/cmi.cmi_94_21","url":null,"abstract":"Background: Glidescope video-laryngoscope (GVL) is an invaluable equipment for patients with anticipated difficult intubations that aids in visualizing the vocal cords out of line-of-sight. However, despite the ease in the visualization and shortening of the time taken to visualise the cords, the intubation time is often prolonged and is associated with trauma. This study aims at identifying incidence of trauma with glidescope in anticipated difficult airway scenario and whether correct practice by experienced anesthesiologist can reduce trauma. Methodology: Eighty-nine adult patients with anticipated difficult airway who were intubated using GVL by experienced anesthesiologists in a tertiary care setting were studied. The time to visualize, the time to intubate, the difficulties encountered at intubation were documented, the incidence of trauma was reported. The factors associated with trauma were analyzed using PSPP software (psppire. exe 0.8.4-g012d99). Results: The incidence of airway trauma was 11.2%. It was higher in the group with technical difficulties (Gtd) (P < 0.001) and was less in the hands of an experienced anesthesiologist (P = 0.02). Conclusion: GVL intubation in anticipated difficult airway cases by experienced anesthesiologists using the right technique has lesser incidence of trauma, lesser than that is seen with Macintosh intubations in anticipated difficult airway scenario. Knowledge on techniques to troubleshoot technical difficulties with GVL may reduce the incidence of trauma further and needs to be studied more.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79179302","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

Effect of a hydrogen peroxide gas-plasma sterilization on physical integrity and quality of N95 respirators: An experimental study during the COVID-19 pandemic 双氧水等离子体灭菌对N95口罩物理完整性和质量影响的实验研究

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_9_22

Malathi Murugesan, S. Radha, Bhagteshwar Singh, P. Mathews, Suresh Devasahayam, P. Rupali

{"title":"Effect of a hydrogen peroxide gas-plasma sterilization on physical integrity and quality of N95 respirators: An experimental study during the COVID-19 pandemic","authors":"Malathi Murugesan, S. Radha, Bhagteshwar Singh, P. Mathews, Suresh Devasahayam, P. Rupali","doi":"10.4103/cmi.cmi_9_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_9_22","url":null,"abstract":"Background: N95 respirators have prevented transmission among health-care workers during the COVID-19 pandemic. During times of intense shortage of respirators and border closures during the pandemic, re-use strategies with available decontamination methods were necessitated. This in-house experimental study evaluated the effect of hydrogen peroxide gas-plasma sterilization on respirators and helped establish an evidence-based protocol for their re-use in a resource-poor setting. Materials and Methods: A three-dimensional experimental model using saline nebulization as the aerosol exposure and a particle counter to measure the filtration of particles through the mask pre- and post-sterilization was used. Multiple cycles of plasma sterilization were done till the physical integrity/fit was lost. Total filtration volume was used as a surrogate marker to assess the filtration efficiency (FE). Results: The total volume of particles filtered on a 3M respirator was 99.9%. Unused Halyard and Venus respirators were compared against 3M and found to have FE of 99.9% and 60.5%, respectively. After repeated sterilization cycles, the total volume of particles filtered was 59.3% for Halyard in the seventh cycle and 36.2% for Venus in the fifth cycle. When the physical integrity and fit was tested, the appropriate fit was lost after eight cycles of sterilization for Venus and was not lost for Halyard even after the tenth cycle. Conclusion: This low-cost experimental study helped implement an effective and safe decontamination strategy for safe re-use of N95 respirators in an emergent situation with no access to commercial testing in a resource poor health-care setting during the pandemic.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72877796","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

Ensuring training of medical students in bioethics competencies as an integral part of medical curriculum 确保医学生的生物伦理学能力培训作为医学课程的一个组成部分

Current medical issues Pub Date : 2022-07-01 DOI: 10.4103/cmi.cmi_52_22

S. Shrivastava, P. Shrivastava

{"title":"Ensuring training of medical students in bioethics competencies as an integral part of medical curriculum","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/cmi.cmi_52_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_52_22","url":null,"abstract":"Ethics has been considered an integral and indispensable part of the health-care profession for multiple decades. The term “bioethics” generally refers to the study of ethical issues arising because of the development made in the field of medicine, biology, and technology, which might become a cause of concern for humans or detrimentally affects the association between human and their environment. In order to streamline the training process of medical students in bioethics, there is an indispensable need to define the competencies that need to be covered during the training period. We must understand that teaching bioethics is way more than covers a theoretical topic, rather it requires exposure of medical students to a number of practical and clinically relevant scenarios. In conclusion, training medical students in bioethics have to be acknowledged as an important need, as it will eventually determine the safety and well-being of the current and future generations of people. It is high time that specific steps are taken to define specific bioethics competencies and integrate them with the existing medical curriculum to benefit both medical students and the general population.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83635630","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