B. Shah, H. Shrivastava, A. Julka, M. Dubey, Shubham Mishra
Objectives: - The aim of the present study is to evaluate the clinical profile, investigations, treatment protocol and the response to the therapy in patient of COPD presenting with Respiratory failure. Materials and Methods: - All those patient with COPD with respiratory failure admitted in IPD in department of Respiratory Medicine R. D. Gardi Medical College Ujjain included in the study. Patients were evaluated by a detailed history, clinical examination, chest radiograph, arterial blood gas analysis and relevant blood investigation and were put on treatment. All the information was written in a proforma and the results were analysed. Results: - Majority of the patients were males (83.3%) with mean age of 65 years. In our study, the most common risk factor for COPD with respiratory failure was found to be smoking (80%). Nearly 70% cases were having type 2 respiratory failure. The main causes of exacerbations were bronchospasm(88.3%) and secondary infection (68.4%). 65% of the patients were discharged on room air with medical treatment, 23.3% patients were discharge on home oxygen with medical treatment, 3.33% patients discharged on NIV along with medical treatment and 5 patients died during hospitalization. Conclusion: - It is very important to take holistic approach toward COPD patient with respiratory failure. Early diagnosis, prompt treatment, pulmonary rehabilitation and vaccination are mainstay of management modalities and to prevent further exacerbation in patients.
{"title":"Evaluation of respiratory Failure in Patients with Chronic Obstructive Pulmonary disease","authors":"B. Shah, H. Shrivastava, A. Julka, M. Dubey, Shubham Mishra","doi":"10.58999/cijmr.v1i01.31","DOIUrl":"https://doi.org/10.58999/cijmr.v1i01.31","url":null,"abstract":"Objectives: - The aim of the present study is to evaluate the clinical profile, investigations, treatment protocol and the response to the therapy in patient of COPD presenting with Respiratory failure. \u0000Materials and Methods: - All those patient with COPD with respiratory failure admitted in IPD in department of Respiratory Medicine R. D. Gardi Medical College Ujjain included in the study. Patients were evaluated by a detailed history, clinical examination, chest radiograph, arterial blood gas analysis and relevant blood investigation and were put on treatment. All the information was written in a proforma and the results were analysed. \u0000Results: - Majority of the patients were males (83.3%) with mean age of 65 years. In our study, the most common risk factor for COPD with respiratory failure was found to be smoking (80%). Nearly 70% cases were having type 2 respiratory failure. The main causes of exacerbations were bronchospasm(88.3%) and secondary infection (68.4%). 65% of the patients were discharged on room air with medical treatment, 23.3% patients were discharge on home oxygen with medical treatment, 3.33% patients discharged on NIV along with medical treatment and 5 patients died during hospitalization. \u0000Conclusion: - It is very important to take holistic approach toward COPD patient with respiratory failure. Early diagnosis, prompt treatment, pulmonary rehabilitation and vaccination are mainstay of management modalities and to prevent further exacerbation in patients. \u0000 ","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134236157","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. Goothy, Twinkle Rajak, Hirok Chakraborty, Anita Choudhary, M. V. K.
letter to editor
给编辑的信
{"title":"Decline in Quality and Quantity of Sleep in Young Adults: The Need of the Hour","authors":"S. Goothy, Twinkle Rajak, Hirok Chakraborty, Anita Choudhary, M. V. K.","doi":"10.58999/cijmr.v1i01.26","DOIUrl":"https://doi.org/10.58999/cijmr.v1i01.26","url":null,"abstract":"letter to editor","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132828067","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}
India is rapidly opening new medical colleges. Prime minister Mr. Modi recently reiterated one medical college per district vision. India has 739 districts. Many cities have 3-5 medical colleges. So finally India may end up with something like 800-900 or medical colleges and about 160,000 medical seats if we assume each college to have average of 200 MBBS seats. Many of these colleges will be in rural India, which is good. The quality of health care delivery will improve if there is a medical college in a district.
{"title":"Role of Medical Colleges in Research in Rural Areas: Time for New Thinking","authors":"D. Mavalankar","doi":"10.58999/cijmr.v1i01.33","DOIUrl":"https://doi.org/10.58999/cijmr.v1i01.33","url":null,"abstract":"India is rapidly opening new medical colleges. Prime minister Mr. Modi recently reiterated one medical college per district vision. India has 739 districts. Many cities have 3-5 medical colleges. So finally India may end up with something like 800-900 or medical colleges and about 160,000 medical seats if we assume each college to have average of 200 MBBS seats. Many of these colleges will be in rural India, which is good. The quality of health care delivery will improve if there is a medical college in a district.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129109573","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}
In a venture to reduce maternal mortality especially by post-partumhemorrhage and prolonged and protracted labor many labor room procedures are in practice. The purpose of this study is to compare laborers with and without amniotomy concerning the duration of admission to delivery interval, mode of delivery (vaginal or cesarean), and fetal compromise in form of Apgar score.In the background of augmentation of labor by routine amniotomy in normally progressing labor, this study was carried out on 156 parous women in the Department of Obstetrics and Gynaecology at C. R. Gardi Hospital, Ujjain, Central India from January 2017 to January 2018. Doing artificial rupture of membranes at 3-4 cm dilatation was the main procedure. Results showed a definite reduction in admission to a delivery interval in primigravida and multipara (p=0.00). There was no effect on mode of delivery, the requirement of addition of oxytocin, and poor Apgar score (< 7); p-value being more than 0.05. Concluding our result findings, amniotomy as a routine procedure in the labor room helps reduce the length of labor.
为了降低产妇死亡率，特别是产后出血和长时间分娩，许多产房程序正在实践中。本研究的目的是比较剖宫产和非剖宫产的产妇在入院时间、分娩间隔、分娩方式(阴道或剖宫产)和胎儿损伤方面的Apgar评分。在常规羊膜切开增加正常产程分娩的背景下，本研究于2017年1月至2018年1月在印度中部Ujjain的C. R. Gardi医院妇产科对156名分娩妇女进行了研究。主要手术是在扩张3-4 cm时人工破膜。结果显示初产妇和多产妇的入院分娩间隔明显减少(p=0.00)。对分娩方式、催产素添加需求及Apgar评分差均无影响(< 7);p值大于0.05。综上所述，羊膜切开术作为产房的常规手术有助于缩短产程。
{"title":"Study of Women in Labor with Artificial Rupture of Membranes and its Effect on the Duration of Labor","authors":"K. Mahadik, Ishita Sharma, Rakhi Patidar","doi":"10.58999/cijmr.v1i01.32","DOIUrl":"https://doi.org/10.58999/cijmr.v1i01.32","url":null,"abstract":"In a venture to reduce maternal mortality especially by post-partumhemorrhage and prolonged and protracted labor many labor room procedures are in practice. The purpose of this study is to compare laborers with and without amniotomy concerning the duration of admission to delivery interval, mode of delivery (vaginal or cesarean), and fetal compromise in form of Apgar score.In the background of augmentation of labor by routine amniotomy in normally progressing labor, this study was carried out on 156 parous women in the Department of Obstetrics and Gynaecology at C. R. Gardi Hospital, Ujjain, Central India from January 2017 to January 2018. Doing artificial rupture of membranes at 3-4 cm dilatation was the main procedure. Results showed a definite reduction in admission to a delivery interval in primigravida and multipara (p=0.00). There was no effect on mode of delivery, the requirement of addition of oxytocin, and poor Apgar score (< 7); p-value being more than 0.05. Concluding our result findings, amniotomy as a routine procedure in the labor room helps reduce the length of labor. ","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114923538","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 : 2021-08-03DOI: 10.21203/rs.3.rs-763687/v1
Prof. Badrinarayan Mishra
Human health is multidomain. However, the physical component has dominated health research. Spiritual health, the component traditionally considered as the pivot for health and wellness has taken a back seat. Exploring its’ different determinants in the traditional preachers will enhance our understanding of them and will be a guide for their use in the common man’s life. Aim: To find out important sociocultural factors/drivers to the spiritual health in Indian Saints. Objectives: To identify the important social and cultural determinants of spirituality in the study group by factor extraction through Principal Component Analysis (PCA). Methodology: 958 connecting Indian Saints who congregated at Kumbh Mela at the holy city of Ujjain in 2016 were randomly selected in equal proportion from different sects(clans). Their sociocultural background and spiritual score were evaluated by a sociocultural questionnaire and SAI (Spiritual Assessment Inventory). The contribution of sociocultural factors to spiritual score was analysed by Principal Component Analysis (PCA) and linear regression modelling. Statistical significance was established at p < 0.05. Results: 20 sociocultural factors were evaluated for component loading (factor extraction) and their impact on the spiritual score. The KMO (Kaiser-Meyer-Olkin Measure) score of Sampling Adequacy, Bartlett's test of sphericity and Communalities extraction were 0.57, sig. of 0.00 and ≥ 0.4 respectively thereby supporting; factor analysis. On PCA 6 had an eigenvalue > 1. All of these 6 principal components were found maintainable on The Monte Carlo PCA for Parallel Analysis and they together explained 66.20% of the cumulative variance. Their respective taxonomies were emancipation (PC 1), family heritage (PC 2), stimuli (PC 3), faith (PC 4), education (PC 5), and self-hegemony (PC 6). On regression analysis, the four important influencers of spirituality were; participant’s origin from a joint family (p – 0.00), their daily routine for spiritual enhancement (p-0.01), respect for other religions (p-0.00), and self-motivation (p-0.01). Conclusion: Emancipation (freedom from family bondage), the presence of religious family background, a fixed daily routine, belief in all religions, an unremitting drive for spiritual education, and self-hegemony were dominant components that determined spirituality in Indian Saints. Translating these drivers for the benefit of commoners may enrich their overall health and wellness.
{"title":"Sociocultural drivers of spirituality in Indian Saints; A Principal Component Analysis.","authors":"Prof. Badrinarayan Mishra","doi":"10.21203/rs.3.rs-763687/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-763687/v1","url":null,"abstract":"\u0000 Human health is multidomain. However, the physical component has dominated health research. Spiritual health, the component traditionally considered as the pivot for health and wellness has taken a back seat. Exploring its’ different determinants in the traditional preachers will enhance our understanding of them and will be a guide for their use in the common man’s life. Aim: To find out important sociocultural factors/drivers to the spiritual health in Indian Saints. Objectives: To identify the important social and cultural determinants of spirituality in the study group by factor extraction through Principal Component Analysis (PCA). Methodology: 958 connecting Indian Saints who congregated at Kumbh Mela at the holy city of Ujjain in 2016 were randomly selected in equal proportion from different sects(clans). Their sociocultural background and spiritual score were evaluated by a sociocultural questionnaire and SAI (Spiritual Assessment Inventory). The contribution of sociocultural factors to spiritual score was analysed by Principal Component Analysis (PCA) and linear regression modelling. Statistical significance was established at p < 0.05. Results: 20 sociocultural factors were evaluated for component loading (factor extraction) and their impact on the spiritual score. The KMO (Kaiser-Meyer-Olkin Measure) score of Sampling Adequacy, Bartlett's test of sphericity and Communalities extraction were 0.57, sig. of 0.00 and ≥ 0.4 respectively thereby supporting; factor analysis. On PCA 6 had an eigenvalue > 1. All of these 6 principal components were found maintainable on The Monte Carlo PCA for Parallel Analysis and they together explained 66.20% of the cumulative variance. Their respective taxonomies were emancipation (PC 1), family heritage (PC 2), stimuli (PC 3), faith (PC 4), education (PC 5), and self-hegemony (PC 6). On regression analysis, the four important influencers of spirituality were; participant’s origin from a joint family (p – 0.00), their daily routine for spiritual enhancement (p-0.01), respect for other religions (p-0.00), and self-motivation (p-0.01). Conclusion: Emancipation (freedom from family bondage), the presence of religious family background, a fixed daily routine, belief in all religions, an unremitting drive for spiritual education, and self-hegemony were dominant components that determined spirituality in Indian Saints. Translating these drivers for the benefit of commoners may enrich their overall health and wellness.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122845307","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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