Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_140_20
A. Jaya, N. Kakkar, M. John
Objective: Delay in complete blood count (CBC) analysis is likely in laboratories with very high workload or when the samples are collected off site for testing in centralized laboratories. This research was done to study the stability of blood cell parameters in automated CBC at the room temperature (20°C–24°C) storage after 24 h and refrigerated (2°C–8°C) storage after 24 and 48 h. Materials and Methods: Automated CBC was done initially on 500 randomly selected blood samples in a 3-part hematology analyzer. Of these, 250 samples were stored at the room temperature (20°C–24°C), and the rest were refrigerated at 2°C–8°C. Re-analysis after 24 h was done for both groups. Data were analyzed using the Pearson correlation coefficient, ANOVA, and repeated-measure ANOVA. Results: Refrigerated samples stored at 2°C–8°C showed good stability for all hematological parameters (P > 0.5), except for mean platelet volume (MPV) in comparison with those at the room temperature storage. MPV showed a statistically significant (P < 0.001) rise on refrigerated storage. In the room temperature storage group, hematocrit (Hct), mean corpuscular volume, mean corpuscular hemoglobin concentration, red cell distribution width, MPV, and granulocyte percentage showed significant difference compared to the initial values. In the extended 48 h refrigerated storage group, all CBC parameters except Hct showed acceptable stability. Conclusion: The storage of blood samples at the room temperature and on refrigeration (2°C–8°C) for 24 h has shown acceptable stability of most of the automated CBC parameters. Refrigeration retained the true values over the room temperature storage and should be recommended if a delay in testing is expected.
{"title":"Effect of room temperature and refrigerated storage on automated complete blood count: A longitudinal study","authors":"A. Jaya, N. Kakkar, M. John","doi":"10.4103/cjhr.cjhr_140_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_140_20","url":null,"abstract":"Objective: Delay in complete blood count (CBC) analysis is likely in laboratories with very high workload or when the samples are collected off site for testing in centralized laboratories. This research was done to study the stability of blood cell parameters in automated CBC at the room temperature (20°C–24°C) storage after 24 h and refrigerated (2°C–8°C) storage after 24 and 48 h. Materials and Methods: Automated CBC was done initially on 500 randomly selected blood samples in a 3-part hematology analyzer. Of these, 250 samples were stored at the room temperature (20°C–24°C), and the rest were refrigerated at 2°C–8°C. Re-analysis after 24 h was done for both groups. Data were analyzed using the Pearson correlation coefficient, ANOVA, and repeated-measure ANOVA. Results: Refrigerated samples stored at 2°C–8°C showed good stability for all hematological parameters (P > 0.5), except for mean platelet volume (MPV) in comparison with those at the room temperature storage. MPV showed a statistically significant (P < 0.001) rise on refrigerated storage. In the room temperature storage group, hematocrit (Hct), mean corpuscular volume, mean corpuscular hemoglobin concentration, red cell distribution width, MPV, and granulocyte percentage showed significant difference compared to the initial values. In the extended 48 h refrigerated storage group, all CBC parameters except Hct showed acceptable stability. Conclusion: The storage of blood samples at the room temperature and on refrigeration (2°C–8°C) for 24 h has shown acceptable stability of most of the automated CBC parameters. Refrigeration retained the true values over the room temperature storage and should be recommended if a delay in testing is expected.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"57 - 61"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42958758","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_166_20
M. Rathi, Neetu Chauhan
Purpose: The goal of blood bank audit is to continuously improve services to the patients by reducing rework, wastage, and inappropriate care. This can be done by establishing certain quality indicators. The rate of discarded blood and its components due to wastage, expiry, and transfusion-transmitted infection are one of such indicator. Design: Retrospective data on the number of whole blood, components prepared, and discarded were collected from the blood bank information system and analyzed. Results: During the study period, the total number of blood and components prepared were 3922. Out of which, a total of 226 units (5.76%) were discarded. In order to alleviate the shortage of blood, we should do intermittent auditing, quality monitoring, thorough evaluation and training of staff, proper management of the resources, and workforce.
{"title":"Audit of blood bank services with emphasis on loss of workforce","authors":"M. Rathi, Neetu Chauhan","doi":"10.4103/cjhr.cjhr_166_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_166_20","url":null,"abstract":"Purpose: The goal of blood bank audit is to continuously improve services to the patients by reducing rework, wastage, and inappropriate care. This can be done by establishing certain quality indicators. The rate of discarded blood and its components due to wastage, expiry, and transfusion-transmitted infection are one of such indicator. Design: Retrospective data on the number of whole blood, components prepared, and discarded were collected from the blood bank information system and analyzed. Results: During the study period, the total number of blood and components prepared were 3922. Out of which, a total of 226 units (5.76%) were discarded. In order to alleviate the shortage of blood, we should do intermittent auditing, quality monitoring, thorough evaluation and training of staff, proper management of the resources, and workforce.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"18 - 22"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47056792","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_135_20
Devika Adusumilli, Saba Syed, S. Pattnaik
Background: In the area of adolescent health, there is growing evidence that effective health promotion interventions among adolescents, providing skills and knowledge, may have direct effects on a range of health outcomes. Thus, the study aimed to assess the effect of mixed-method intervention on self-esteem, body image satisfaction, eating disorders among adolescent school students. Materials and Methods: The cross-sectional study was conducted among high school students in a metropolitan city. At baseline, self-esteem, perception of body image, and pressure by media of participants were assessed using validated self-reported measures. The mixed-method intervention was a body image enhancement program conducted over 6 weeks through six 45–60 min sessions. Postintervention, participants' scores in the above-mentioned domains were assessed using the same self-reported measures. Data analysis was done using SPSS 23.0, and Fisher's exact test, paired t-test, etc., were applied as appropriate. Results: Out of 60 participants, 47% were girls and 53% were boys. Baseline self-esteem scores of girls were lower as compared to boys and were significantly higher in both postintervention. Body image satisfaction among girls improved from 53.57% to 78.57% after intervention. At baseline, higher proportion of girls had likelihood of developing an eating disorder which reduced postintervention. Conclusions: The school-based mixed-method intervention was effective in improving self-esteem, body image satisfaction, and reducing the influence of sociocultural attitudes on appearance in adolescent students.
{"title":"Effect of an intervention on self-esteem, body image satisfaction, and eating disorders in adolescents","authors":"Devika Adusumilli, Saba Syed, S. Pattnaik","doi":"10.4103/cjhr.cjhr_135_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_135_20","url":null,"abstract":"Background: In the area of adolescent health, there is growing evidence that effective health promotion interventions among adolescents, providing skills and knowledge, may have direct effects on a range of health outcomes. Thus, the study aimed to assess the effect of mixed-method intervention on self-esteem, body image satisfaction, eating disorders among adolescent school students. Materials and Methods: The cross-sectional study was conducted among high school students in a metropolitan city. At baseline, self-esteem, perception of body image, and pressure by media of participants were assessed using validated self-reported measures. The mixed-method intervention was a body image enhancement program conducted over 6 weeks through six 45–60 min sessions. Postintervention, participants' scores in the above-mentioned domains were assessed using the same self-reported measures. Data analysis was done using SPSS 23.0, and Fisher's exact test, paired t-test, etc., were applied as appropriate. Results: Out of 60 participants, 47% were girls and 53% were boys. Baseline self-esteem scores of girls were lower as compared to boys and were significantly higher in both postintervention. Body image satisfaction among girls improved from 53.57% to 78.57% after intervention. At baseline, higher proportion of girls had likelihood of developing an eating disorder which reduced postintervention. Conclusions: The school-based mixed-method intervention was effective in improving self-esteem, body image satisfaction, and reducing the influence of sociocultural attitudes on appearance in adolescent students.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"51 - 56"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48018102","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}
Background: Till date, no data has been published about the use of intravenous (IV) thrombolysis in acute ischemic stroke (AIS) from Kashmir valley. Objective: The objective of the study is to assess and determine the pattern of use of IV thrombolysis for AIS in Kashmir, including its efficacy and the difficulties faced in providing this modality of treatment. Materials and Methods: This was a prospective cross-sectional observational study conducted from July 2016 to July 2018. All those patients who were admitted with a diagnosis of stroke and gave informed consent were included in this study. Results: A total of 2023 patients of stroke presented to our emergency department during the study period. Out of them, 1085 (53.6%) cases were found to have hemorrhagic stroke and 938 (46.3%) patients were having ischemic stroke. 9.2% patients of ischemic stroke presented within the window period of thrombolysis, but only 34 (3.6%) patients received IV alteplase. The mean onset to door time in those who received thrombolysis was 103.5 ± 51.17 min. Door-to-needle time (DNT) of ≤60 min was achieved in only 14 (41.2%) cases, whereas mean DNT was 82.7 ± 49.17. There was a statistically significant improvement in the National Institutes of Health Stroke Scale in those who received thrombolysis as compared to those who did not receive it. Conclusion: Hemorrhagic stroke occurs in majority of stroke patients (53.6%) in our community. 3.6% of ischemic stroke patients were thrombolyzed. Thrombolytic therapy presented positive outcomes in comparison to nonthrombolyzed patients which, however, was not statistically significant.
{"title":"Intravenous thrombolysis in acute ischemic stroke: A prospective cross-sectional observational study in Kashmir","authors":"J. Khan, I. Wani, S. Mufti, R. Asimi","doi":"10.4103/cjhr.cjhr_87_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_87_20","url":null,"abstract":"Background: Till date, no data has been published about the use of intravenous (IV) thrombolysis in acute ischemic stroke (AIS) from Kashmir valley. Objective: The objective of the study is to assess and determine the pattern of use of IV thrombolysis for AIS in Kashmir, including its efficacy and the difficulties faced in providing this modality of treatment. Materials and Methods: This was a prospective cross-sectional observational study conducted from July 2016 to July 2018. All those patients who were admitted with a diagnosis of stroke and gave informed consent were included in this study. Results: A total of 2023 patients of stroke presented to our emergency department during the study period. Out of them, 1085 (53.6%) cases were found to have hemorrhagic stroke and 938 (46.3%) patients were having ischemic stroke. 9.2% patients of ischemic stroke presented within the window period of thrombolysis, but only 34 (3.6%) patients received IV alteplase. The mean onset to door time in those who received thrombolysis was 103.5 ± 51.17 min. Door-to-needle time (DNT) of ≤60 min was achieved in only 14 (41.2%) cases, whereas mean DNT was 82.7 ± 49.17. There was a statistically significant improvement in the National Institutes of Health Stroke Scale in those who received thrombolysis as compared to those who did not receive it. Conclusion: Hemorrhagic stroke occurs in majority of stroke patients (53.6%) in our community. 3.6% of ischemic stroke patients were thrombolyzed. Thrombolytic therapy presented positive outcomes in comparison to nonthrombolyzed patients which, however, was not statistically significant.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"93 - 96"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44596091","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_152_20
R. Ahuru, I. Omon, H. Efegbere
Aim: To guarantee safe motherhood, women are advised to adequately space their deliveries. The World Health Organization advocated for a birth interval between 3 and 5 years, yet closed birth spacing continues to be a problem in Nigeria, resulting in poor infant, child, and maternal health. This study explored the determinants of three classes of birth interval (too short, adequate, and too long) among 534 women drawn from three rural communities in Delta State, Southern Nigeria. Methods: The study is an analytical cross-sectional household survey which used a pretested structured questionnaire to elicit information from 534 women in their homes. Extracted data were analyzed with Stata version 13.0. Frequency and simple proportion were used to describe the characteristics of the women. Bivariate analysis was undertaken to show the association between birth intervals and various sociodemographic factors. Determinants of birth interval were measured by multivariate logistic regression. Statistical significance was set at P < 0.05. Results: The mean maternal age is 35.3 years (standard deviation = 7.3 years). According to the results, 74.2% (396/354) of the women reported short birth interval (<24 months), 13.7% (73/534) reported adequate birth interval, and 12.2% (65/534) reported too long birth interval. According to the multivariate logistic regression, short birth interval is significantly influenced by education, media exposure, use of contraceptive, unmet need of contraceptive, and age at marriage. Adequate birth interval is determined by education and unmet need of contraceptive. Long birth interval is predicted by education and ideal birth spacing. Conclusion: In order to encourage adequate birth spacing, education and employment opportunities should be expanded for women in the study area, and the use of modern contraceptive should be encouraged.
目的:为了保证安全孕产，建议妇女适当间隔分娩。世界卫生组织提倡生育间隔为3年至5年，但在尼日利亚，生育间隔过短仍然是一个问题，导致婴儿、儿童和孕产妇健康状况不佳。本研究从尼日利亚南部三角洲州的三个农村社区抽取了534名妇女，探讨了三种生育间隔(过短、足够和过长)的决定因素。方法:本研究采用分析式横断面家庭调查，采用预测试的结构化问卷对534名家庭妇女进行问卷调查。提取的数据用Stata version 13.0进行分析。使用频率和简单比例来描述女性的特征。进行双变量分析以显示出生间隔与各种社会人口因素之间的关联。出生间隔的决定因素采用多元逻辑回归进行测量。差异有统计学意义，P < 0.05。结果:产妇平均年龄为35.3岁，标准差为7.3岁。结果显示，74.2%(396/354)的妇女报告生育间隔短(<24个月)，13.7%(73/534)的妇女报告生育间隔足够，12.2%(65/534)的妇女报告生育间隔过长。多因素logistic回归结果显示，短生育间隔受教育程度、媒体接触、避孕药具使用情况、未满足的避孕药具需求和结婚年龄的影响显著。适当的生育间隔是由教育和未满足的避孕需求决定的。长生育间隔是由教育和理想生育间隔预测的。结论:为了鼓励适当的生育间隔，应扩大研究地区妇女的教育和就业机会，并鼓励使用现代避孕药具。
{"title":"Determinants of interpregnancy intervals among women in rural communities in delta state, Southern Nigeria","authors":"R. Ahuru, I. Omon, H. Efegbere","doi":"10.4103/cjhr.cjhr_152_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_152_20","url":null,"abstract":"Aim: To guarantee safe motherhood, women are advised to adequately space their deliveries. The World Health Organization advocated for a birth interval between 3 and 5 years, yet closed birth spacing continues to be a problem in Nigeria, resulting in poor infant, child, and maternal health. This study explored the determinants of three classes of birth interval (too short, adequate, and too long) among 534 women drawn from three rural communities in Delta State, Southern Nigeria. Methods: The study is an analytical cross-sectional household survey which used a pretested structured questionnaire to elicit information from 534 women in their homes. Extracted data were analyzed with Stata version 13.0. Frequency and simple proportion were used to describe the characteristics of the women. Bivariate analysis was undertaken to show the association between birth intervals and various sociodemographic factors. Determinants of birth interval were measured by multivariate logistic regression. Statistical significance was set at P < 0.05. Results: The mean maternal age is 35.3 years (standard deviation = 7.3 years). According to the results, 74.2% (396/354) of the women reported short birth interval (<24 months), 13.7% (73/534) reported adequate birth interval, and 12.2% (65/534) reported too long birth interval. According to the multivariate logistic regression, short birth interval is significantly influenced by education, media exposure, use of contraceptive, unmet need of contraceptive, and age at marriage. Adequate birth interval is determined by education and unmet need of contraceptive. Long birth interval is predicted by education and ideal birth spacing. Conclusion: In order to encourage adequate birth spacing, education and employment opportunities should be expanded for women in the study area, and the use of modern contraceptive should be encouraged.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"9 - 17"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43328938","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_126_19
Stella Agbo, C. Nwaneri, H. Chiegwu
Introduction: Conflicts abound in basic schools of nursing with consequences such as strained relationships among staff, collapsed agreement, poor academic performances, and disruption of planned academic activities. Conflicts can, however, be beneficial when well managed. Aim: This study aims at assessing the conflict management skills of nurse tutors in Enugu State Basic Schools of Nursing. Research Design: A prospective survey research method was adopted. Materials and Methods: Fifty nurse tutors in three Basic Schools of Nursing in Enugu State were studied from June to December, 2015. Modified Thomas Kilman's generated questionnaire was used for data collection. It has 46 items in two sections – Section A, on demographic data, consisting mainly of close-ended questions with few open-ended questions and Section B, formatted on a 6-point Likert scale of 1–6, containing questions to determine conflict management skills of nurse tutors. Convenient sampling technique was used for data collection. Data Analysis: Statistical Package for Social Sciences version 20.0 was used to analyze data. t-test and analysis of variance test were used to test the set hypotheses. Results: The mean scores for the various parameters were as follows: stress management skill (4.74 ± 0.666), social skills (5.10 ± 0.54), avoidance skills (3.99 ± 0.101), collaborative skills (4.5 ± 0.50), and competing skill (4.10 ± 0.69). Gender and cadre had no statistically significant influence on the conflict management skills of nurse tutors (P = 0.33). Conclusion: Nurse tutors in Enugu State Basic Schools of Nursing possessed good conflict management skills.
{"title":"Assessment of conflict management skills of nurse tutors in basic schools of nursing in Enugu State, Nigeria","authors":"Stella Agbo, C. Nwaneri, H. Chiegwu","doi":"10.4103/cjhr.cjhr_126_19","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_126_19","url":null,"abstract":"Introduction: Conflicts abound in basic schools of nursing with consequences such as strained relationships among staff, collapsed agreement, poor academic performances, and disruption of planned academic activities. Conflicts can, however, be beneficial when well managed. Aim: This study aims at assessing the conflict management skills of nurse tutors in Enugu State Basic Schools of Nursing. Research Design: A prospective survey research method was adopted. Materials and Methods: Fifty nurse tutors in three Basic Schools of Nursing in Enugu State were studied from June to December, 2015. Modified Thomas Kilman's generated questionnaire was used for data collection. It has 46 items in two sections – Section A, on demographic data, consisting mainly of close-ended questions with few open-ended questions and Section B, formatted on a 6-point Likert scale of 1–6, containing questions to determine conflict management skills of nurse tutors. Convenient sampling technique was used for data collection. Data Analysis: Statistical Package for Social Sciences version 20.0 was used to analyze data. t-test and analysis of variance test were used to test the set hypotheses. Results: The mean scores for the various parameters were as follows: stress management skill (4.74 ± 0.666), social skills (5.10 ± 0.54), avoidance skills (3.99 ± 0.101), collaborative skills (4.5 ± 0.50), and competing skill (4.10 ± 0.69). Gender and cadre had no statistically significant influence on the conflict management skills of nurse tutors (P = 0.33). Conclusion: Nurse tutors in Enugu State Basic Schools of Nursing possessed good conflict management skills.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41714022","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}
S. Augustin, R. Deshpande, Girish K. Shanthaveeranna
Introduction: Creatinine in urine and serum are used in the assessment of renal function. It is commonly estimated by Jaffe's and enzymatic method. In many institutions, serum creatinine is estimated by (POCT) Point of care testing device (Enzymatic method) and follow-up of the patients with creatinine results by other methods, analyzed in the Biochemistry laboratory. If the results of POCT do not correlate with the Jaffe method, it leads to differences in serum creatinine values and wrong treatment decisions during the follow-up of the patients. Hence, this study was done to know the difference between the two methods in a tertiary care hospital. Aim and Objective: To estimate creatinine by Jaffe's and enzymatic method and to compare the serum creatinine values between the two methods. Materials and Methods: It is an observational cross-sectional study, for a period of 17 months from November 2018 to March 2020. Seventy-five samples were analyzed for serum creatinine by Jaffe's method in the Biochemistry laboratory and by enzymatic method in the emergency department in POCT device. Results: Mean differences between Jaffe's and enzymatic method were −0.063 mg/dL, 0.070 mg/dL, 0.198 mg/dL, and 0.0685 in Group I, II, III, and all the groups together. The overall intraclass correlation coefficient including all the three groups (0.995) indicates a very good correlation between the two methods. Conclusion: Our study showed a good agreement and good correlation between the two methods, which is similar to other studies analyzed on same instrument.
{"title":"To compare creatinine estimation by jaffe and enzymatic method","authors":"S. Augustin, R. Deshpande, Girish K. Shanthaveeranna","doi":"10.4103/cjhr.cjhr_34_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_34_20","url":null,"abstract":"Introduction: Creatinine in urine and serum are used in the assessment of renal function. It is commonly estimated by Jaffe's and enzymatic method. In many institutions, serum creatinine is estimated by (POCT) Point of care testing device (Enzymatic method) and follow-up of the patients with creatinine results by other methods, analyzed in the Biochemistry laboratory. If the results of POCT do not correlate with the Jaffe method, it leads to differences in serum creatinine values and wrong treatment decisions during the follow-up of the patients. Hence, this study was done to know the difference between the two methods in a tertiary care hospital. Aim and Objective: To estimate creatinine by Jaffe's and enzymatic method and to compare the serum creatinine values between the two methods. Materials and Methods: It is an observational cross-sectional study, for a period of 17 months from November 2018 to March 2020. Seventy-five samples were analyzed for serum creatinine by Jaffe's method in the Biochemistry laboratory and by enzymatic method in the emergency department in POCT device. Results: Mean differences between Jaffe's and enzymatic method were −0.063 mg/dL, 0.070 mg/dL, 0.198 mg/dL, and 0.0685 in Group I, II, III, and all the groups together. The overall intraclass correlation coefficient including all the three groups (0.995) indicates a very good correlation between the two methods. Conclusion: Our study showed a good agreement and good correlation between the two methods, which is similar to other studies analyzed on same instrument.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"66 - 70"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45021623","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}
Introduction: Modern society is creating a severe threat to the health. Such as physical inactivity leading to muscle weakness, air pollution causing respiratory distress etc. But the relationship between hand grip muscle strength (HGS) and pulmonary function is not clear. Hence, the present study was designed to investigate is there any association of handgrip muscle strength and endurance with pulmonary function test (PFT) parameters in healthy young adults. Materials and Methods: In this cross-sectional study, 80 healthy volunteers of 18–21 years of age had participated. PFT was done using portable spirometer. For measurement of muscle strength and endurance, handgrip dynamometer was used. Statistical analysis was done using SPSS 26 software. Mean was calculated for the general characteristics. Pearson correlation coefficient was calculated to analyze the association of handgrip muscle strength and various indices of pulmonary function. Results: In this study (47), 58.8% were male and (33) 41.3% were female. Muscle strength, endurance, forced vital capacity (FVC), forced expiratory flow in 1 s (FEV1), peak expiratory flow rate (PEFR) were significantly higher in males than females. There were significantly positive correlation of handgrip muscle strength with FVC (r = 0.522**, P = 0.000) and FEV1 (r = 0.486**, P = 0.000). Muscle endurance was significantly positively correlated with FVC (r = 0.397**, P = 0.000), FEV1 (r = 0.438**, P = 0.000) and PEFR (r = 0.221*, P = 0.049). Conclusions: Hence, it can be concluded that there is a positive correlation of handgrip muscle strength and endurance with pulmonary function. Hence, HGS can also be used to predict pulmonary function.
现代社会正在对健康造成严重威胁。例如缺乏运动导致肌肉无力，空气污染导致呼吸窘迫等。但握力与肺功能之间的关系尚不清楚。因此，本研究旨在探讨健康年轻人的握力和耐力与肺功能测试(PFT)参数之间是否存在关联。材料与方法:本横断面研究选取了80名年龄在18-21岁的健康志愿者。PFT采用便携式肺活量计。用握力计测量肌肉力量和耐力。采用SPSS 26软件进行统计学分析。计算一般特征的平均值。计算Pearson相关系数，分析握力与肺功能各项指标的相关性。结果:本组47例患者中，男性占58.8%，女性占41.3%。肌肉力量、耐力、用力肺活量(FVC)、1 s用力呼气流量(FEV1)、呼气峰值流速(PEFR)均显著高于女性。握力与FVC (r = 0.522**， P = 0.000)、FEV1 (r = 0.486**， P = 0.000)呈显著正相关。肌肉耐力与FVC (r = 0.397**， P = 0.000)、FEV1 (r = 0.438**， P = 0.000)、PEFR (r = 0.221*， P = 0.049)呈显著正相关。结论:握力肌力量、耐力与肺功能呈正相关。因此，HGS也可用于预测肺功能。
{"title":"Association of hand grip muscle strength and endurance with pulmonary function tests in healthy young adults","authors":"Jolly Bhattacharjya","doi":"10.4103/cjhr.cjhr_85_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_85_20","url":null,"abstract":"Introduction: Modern society is creating a severe threat to the health. Such as physical inactivity leading to muscle weakness, air pollution causing respiratory distress etc. But the relationship between hand grip muscle strength (HGS) and pulmonary function is not clear. Hence, the present study was designed to investigate is there any association of handgrip muscle strength and endurance with pulmonary function test (PFT) parameters in healthy young adults. Materials and Methods: In this cross-sectional study, 80 healthy volunteers of 18–21 years of age had participated. PFT was done using portable spirometer. For measurement of muscle strength and endurance, handgrip dynamometer was used. Statistical analysis was done using SPSS 26 software. Mean was calculated for the general characteristics. Pearson correlation coefficient was calculated to analyze the association of handgrip muscle strength and various indices of pulmonary function. Results: In this study (47), 58.8% were male and (33) 41.3% were female. Muscle strength, endurance, forced vital capacity (FVC), forced expiratory flow in 1 s (FEV1), peak expiratory flow rate (PEFR) were significantly higher in males than females. There were significantly positive correlation of handgrip muscle strength with FVC (r = 0.522**, P = 0.000) and FEV1 (r = 0.486**, P = 0.000). Muscle endurance was significantly positively correlated with FVC (r = 0.397**, P = 0.000), FEV1 (r = 0.438**, P = 0.000) and PEFR (r = 0.221*, P = 0.049). Conclusions: Hence, it can be concluded that there is a positive correlation of handgrip muscle strength and endurance with pulmonary function. Hence, HGS can also be used to predict pulmonary function.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"41 - 44"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45761410","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_127_20
Kavita Bhatnagar, A. Oberoi, M. Ketkar
Introduction: Medical education aims at training an individual with respect to the knowledge, clinical skills, communication skills, and soft skills and building the highest standards of morale. While majority of training programs offer considerable technical skills only a few incorporate the remaining assets. Methods: A curriculum innovation project “Foundation Course” aiming to achieve the above goals, designed for the students entering a medical college was conducted for 74 students joining M. B. B. S. course in a Government Medical College in Port Blair in the year 2015. The feedback from students and teachers was collected at the end of entire activity in the form of a specially designed structured questionnaire with open as well as close-ended questions. Qualitative analysis was performed for students' and teachers' feedback on the open-ended questions. Results: The response rate was 100%. Students perceived foundation course as an excellent opportunity to acquire basic knowledge, attitude, and skills required for subsequent phases in MBBS course. The students opined that teachers who were friendly and approachable enhanced their learning. The attitude of teachers, the methodology of teaching, and the cooperation of peers all played a significant role in enhancing the learning. This course was helpful and increased their orientation to the curriculum and eased out the apprehension to cope up with the challenges. Conclusion: This foundation course enhanced their orientation to the curriculum and campus, boosted confidence to cope up with the challenging syllabus, helped them develop time and stress management skills, and sensitized them to achieve the highest standards of morale required to ensure ethical practice. Students' feedback revealed that how the faculty taught and interacted with the students had more impact than the content.
{"title":"Implementing foundation course for the first time-qualitative analysis of medical students' feedback and lessons learned","authors":"Kavita Bhatnagar, A. Oberoi, M. Ketkar","doi":"10.4103/cjhr.cjhr_127_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_127_20","url":null,"abstract":"Introduction: Medical education aims at training an individual with respect to the knowledge, clinical skills, communication skills, and soft skills and building the highest standards of morale. While majority of training programs offer considerable technical skills only a few incorporate the remaining assets. Methods: A curriculum innovation project “Foundation Course” aiming to achieve the above goals, designed for the students entering a medical college was conducted for 74 students joining M. B. B. S. course in a Government Medical College in Port Blair in the year 2015. The feedback from students and teachers was collected at the end of entire activity in the form of a specially designed structured questionnaire with open as well as close-ended questions. Qualitative analysis was performed for students' and teachers' feedback on the open-ended questions. Results: The response rate was 100%. Students perceived foundation course as an excellent opportunity to acquire basic knowledge, attitude, and skills required for subsequent phases in MBBS course. The students opined that teachers who were friendly and approachable enhanced their learning. The attitude of teachers, the methodology of teaching, and the cooperation of peers all played a significant role in enhancing the learning. This course was helpful and increased their orientation to the curriculum and eased out the apprehension to cope up with the challenges. Conclusion: This foundation course enhanced their orientation to the curriculum and campus, boosted confidence to cope up with the challenging syllabus, helped them develop time and stress management skills, and sensitized them to achieve the highest standards of morale required to ensure ethical practice. Students' feedback revealed that how the faculty taught and interacted with the students had more impact than the content.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"45 - 50"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48817237","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}
Pub Date : 2022-01-01DOI: 10.4103/cjhr.cjhr_174_20
Arjunan Isaac, S. Pruthvish, K. Radhika, N. Murthy
Background: Fluorosis is caused because of excessive fluoride intake. Karnataka is one among the states that have reported high fluoride content in the groundwater. This study aimed to determine the prevalence of and clinical manifestations suggestive of fluorosis, along with the causes for fluorosis among the population of Kaiwara village. Methodology: The present cross-sectional survey was performed among 3003 permanent residents of Kaiwara village. Demographic details such as age, occupation, education, economic status, and anthropometric details were recorded. Parameters such as predominant diet, genu valgum, and grades of goiter were studied and recorded to determine their association with fluorosis. Dean's index was used to detect dental fluorosis. The levels of fluoride in urine were estimated using the ELICO-LI-126 Fluoride ion analyzer. Results: The most observed age group among study subjects was 10–49 years (males: 813 and females: 1304). Age, diet, genu valgum, and grade of goiter were significantly (P < 0.001) associated with Dean's index. Of the study subjects, about 11.8% were unable to touch their toes indicating fluorosis. 2.075 mg/dl was the mean baseline fluoride level found in all the four samples from the main water tanks supplying water to the village. Out of 100 urine samples randomly taken, all had fluoride levels above the acceptable levels (>0.1 ppm). Conclusion: Hydric fluorosis is endemic among the general population of Kaiwara village in Karnataka. The main leading cause for fluorosis occurrence in this region might be due to high fluoride levels reported in the groundwater.
{"title":"Prevalence and causes of endemic hydric fluorosis in a village in rural Karnataka, India","authors":"Arjunan Isaac, S. Pruthvish, K. Radhika, N. Murthy","doi":"10.4103/cjhr.cjhr_174_20","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_174_20","url":null,"abstract":"Background: Fluorosis is caused because of excessive fluoride intake. Karnataka is one among the states that have reported high fluoride content in the groundwater. This study aimed to determine the prevalence of and clinical manifestations suggestive of fluorosis, along with the causes for fluorosis among the population of Kaiwara village. Methodology: The present cross-sectional survey was performed among 3003 permanent residents of Kaiwara village. Demographic details such as age, occupation, education, economic status, and anthropometric details were recorded. Parameters such as predominant diet, genu valgum, and grades of goiter were studied and recorded to determine their association with fluorosis. Dean's index was used to detect dental fluorosis. The levels of fluoride in urine were estimated using the ELICO-LI-126 Fluoride ion analyzer. Results: The most observed age group among study subjects was 10–49 years (males: 813 and females: 1304). Age, diet, genu valgum, and grade of goiter were significantly (P < 0.001) associated with Dean's index. Of the study subjects, about 11.8% were unable to touch their toes indicating fluorosis. 2.075 mg/dl was the mean baseline fluoride level found in all the four samples from the main water tanks supplying water to the village. Out of 100 urine samples randomly taken, all had fluoride levels above the acceptable levels (>0.1 ppm). Conclusion: Hydric fluorosis is endemic among the general population of Kaiwara village in Karnataka. The main leading cause for fluorosis occurrence in this region might be due to high fluoride levels reported in the groundwater.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41619142","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：