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Internet usage among young population and its relation with anxiety, depression, stress and self-esteem 青少年网络使用与焦虑、抑郁、压力和自尊的关系
Pub Date : 2022-06-15 DOI: 10.18231/j.ijfcm.2022.012
L. Salunkhe, M. Shete, Rahul Dhananjay Salunkhe, Nihal Mali, Vidya Dinkar Shete
Excessive use of internet brings change in mood, associate inability to regulate the amount of time spent with the Internet, withdrawal symptoms once not engaged, a affecting social life and adverse work or academic consequences which suggests symptoms related to depression, anxiety and stress and along with that it also affects self-esteem of the students. Aim of this study is to identify association of internet addiction with anxiety, depression, stress and self-esteem. A cross-sectional study of 200 students, resident of urban and rural population in the locality of Sangli district Maharashtra India were selected by simple random sampling having an access to the internet. The association of Young’s Internet addiction scale was used along with DASS-21, Rosenberg self-esteem scale for comparison in both urban and rural population. The prevalence of depression, anxiety and stress in both urban and rural area is 56%, 82% and 84% respectively. After we compared the internet addiction with psychological variables, we have found that 83.33% students in rural area exhibit signs of depression. Apart from that, 91% and 89% students from urban and rural area respectively have self-esteem within normal range.Internet usage has a robust impact on young population. Multi-sectoral approach plays an important role to promote healthy use of internet among urban and rural youth population.
过度使用互联网会带来情绪变化,无法调节上网时间,一旦不上网就会出现戒断症状,影响社交生活和不利的工作或学业后果,这表明与抑郁、焦虑和压力有关的症状,同时也会影响学生的自尊。本研究旨在探讨网瘾与焦虑、抑郁、压力和自尊的关系。采用简单随机抽样的方法,对印度马哈拉施特拉邦Sangli地区的200名学生、城市居民和农村居民进行了横断面研究。采用Young 's网络成瘾量表与DASS-21、Rosenberg自尊量表对城乡人群进行比较。城市和农村地区的抑郁、焦虑和压力患病率分别为56%、82%和84%。我们将网络成瘾与心理变量进行比较,发现83.33%的农村学生表现出抑郁的迹象。此外,城乡学生自尊水平在正常范围内的比例分别为91%和89%。互联网的使用对年轻人有很大的影响。多部门方法在促进城乡青年人口健康使用互联网方面发挥着重要作用。
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引用次数: 0
Suicide note- A vital clue in forming opinion to cause of death 遗书——形成死因判断的重要线索
Pub Date : 2022-06-15 DOI: 10.18231/j.ijfcm.2022.018
M. Sharma, V. Chandra, M. Sahu
Suicide, is one of the most painful way of death and even more so painful for the near and dear ones. Suicide note if recovered is heart breaking, as it becomes the last and one way communication from the deceased to his family/ friends. In almost 95% of cases it is written in own handwriting and consisting of 10-15 sentences or small paragraph. While there have been studies related to this and was observed that number of words usually doesn’t make a difference between complete and half attempt suicide. To understand a suicide note, Relevance theory was proposed which is based on a principle that "every utterance conveys the information that it is relevant enough for it to be worth the addressee's effort to process it". The note which was recovered from the deceased`s pocket and whereby mentioning that “life had become painful and stuck in a situation from where he couldn’t get out”, clearly conveys about the stress and problems in his life, though did not mention clearly or any specifics. A study conducted in USA regarding the words used in suicide notes and observed that words referencing to inclusive space like “with” or “include” are not usually used which is similar to our case and it signifies isolation or lack of belongingness.
自杀是最痛苦的死亡方式之一,对至亲至爱的人来说更是如此。遗书如果被发现是令人心碎的,因为它成为了死者与家人/朋友最后和唯一的沟通方式。在几乎95%的情况下,它是手写的,由10-15个句子或小段落组成。虽然有相关的研究,并观察到,单词的数量通常不会造成完全自杀和半自杀的区别。为了理解遗书,关联理论被提出,其原理是“每一句话都传达了足够相关的信息,值得收信人努力去处理它”。从死者口袋里找到的纸条提到“生活变得痛苦,陷入了一种无法摆脱的境地”,这清楚地传达了他生活中的压力和问题,尽管没有明确提到或任何细节。在美国进行的一项关于遗书中使用的词语的研究发现,通常不使用“with”或“include”等涉及包容性空间的词语,这与我们的情况相似,它意味着孤立或缺乏归属感。
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引用次数: 0
DNA in forensic odontology: An overview 法医牙科学中的DNA:综述
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.005
M. Hussain, Rubeena Anjum, Mandeep Kaur, Shugufta Shafi
Human remains are tremendously damaged and degraded in forensic cases and the identification becomes very difficult, in those cases teeth and bones are often the only reliable sources of DNA for identification. Advances in DNA extraction techniques and short-amplicon DNA typing have greatly increased our potential to identify human remains which were previously considered to be too compromised for genetic analysis. As the teeth are largely protected within the jawbones and remains protected from the environmental conditions and prevent these tissues from postmortem decomposition and DNA decay. DNA profile tests which are performed nowadays are totally reliable and give details about an individual’s physical characteristics, ethnicity, place of origin and sex. These tests are also accepted as legal proofs in courts. These tests are: Restriction Fragment Length Polymorphism Typing, STRs Typing, Mitochondrial DNA Analysis, Y-Chromosome Analysis, X-Chromosome STR, Single Nucleotide Polymorphism. The aim of this review is to provide a better understanding and knowledge about the latest techniques in DNA for human identification in the field of forensic odontology.
在法医案件中,人类遗骸受到严重破坏和退化,鉴定变得非常困难,在这种情况下,牙齿和骨头往往是鉴定DNA的唯一可靠来源。DNA提取技术和短扩增子DNA分型的进步极大地增加了我们识别人类遗骸的潜力,这些遗骸以前被认为太过妥协,无法进行遗传分析。由于牙齿在很大程度上被保护在颌骨内,并且仍然不受环境条件的影响,防止这些组织在死后分解和DNA腐烂。目前进行的DNA档案测试是完全可靠的,可以提供有关个人身体特征、种族、原籍地和性别的详细信息。这些测试也被法庭接受为法律证据。这些测试是:限制性片段长度多态性分型,STRs分型,线粒体DNA分析,y染色体分析,x染色体STR,单核苷酸多态性。本文综述的目的是为了更好地了解和了解法医牙医学领域的最新DNA鉴定技术。
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引用次数: 2
Attitude, perceptions and willingness to receive COVID-19 vaccine and their associated factors among general population of Uttar Pradesh, Northern India 印度北部北方邦普通人群对COVID-19疫苗接种的态度、观念和意愿及其相关因素
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.001
MD Abu Bashar, Imran Ahmed Khan, Harish Chandra Tiwari
Several vaccines have been developed and tested against COVID-19 around the globe. Vaccine hesitancy and misinformation poses major challenges to the achievement of coverage and population immunity. Understanding key determinants that influence the preferences and demands of a COVID-19 vaccine by the community may help to develop strategies for improving coverage. To assess willingness for the corona virus disease 2019 (COVID-19) vaccine and identify the factors associated with it. A web-based cross-sectional study was conducted among unvaccinated general population of Uttar Pradesh, Northern India adopting an exponential, non-discriminative snowball sampling technique. A bilingual, self-administered anonymous structured questionnaire in google form was designed and sent to the study participants through social media platforms. Data collected were extracted in excel sheets and analyzed using SPSS software, version 21.0. Bivariate analysis was performed to identify the key determinants for vaccine acceptance among the participants.Out of 254 participants completing the questionnaire, 219 (86.2%) showed willingness to receive a COVID-19 vaccine, whereas 10 (4.0%) admitted hesitancy and 25 (9.8%) were not sure. Younger age-group (18-44 years), female gender, absence of any co-morbidity, lower education level, current employment status, positive history of confirmed COVID-19 infection in the person and positive history of confirmed COVID-19 infection in any family member/friend were the factors found to be significantly associated with the willingness to receive a COVID-19 vaccine. During the second wave of COVID-19 pandemic in India, high acceptance for COVID-19 vaccination was found among the general population of Uttar Pradesh, whereas concerns about vaccine safety may hinder the actual vaccine uptake. (1). Mass vaccination against COVID-19 is one of the effective way of controlling the ongoing pandemic of COVID-19 (2). There is a variable acceptance of COVID-19 vaccines in different populations and sub-groups across the globe (3). Vaccine hesitancy for COVID-19 vaccines can disrupt the efforts for containment of the pandemic. (1) Acceptance for COVID-19 vaccines among the general population of a North Indian state is seemingly high; (2). However, concerns about vaccine safety may hinder the actual vaccine uptake; (3). Targeted health education interventions are needed to increase the uptake of the COVID-19 vaccines in this population.
全球已经开发并测试了几种针对COVID-19的疫苗。疫苗犹豫和错误信息对实现覆盖率和人口免疫构成重大挑战。了解影响社区对COVID-19疫苗偏好和需求的关键决定因素可能有助于制定提高覆盖率的战略。评估对2019冠状病毒病(COVID-19)疫苗的意愿,并确定与之相关的因素。在印度北部北方邦未接种疫苗的普通人群中进行了一项基于网络的横断面研究,采用指数、非歧视性雪球抽样技术。设计了一份双语、自我管理的匿名结构化谷歌问卷,并通过社交媒体平台发送给研究参与者。收集到的数据以excel表格进行提取,并使用SPSS 21.0版软件进行分析。进行双变量分析以确定参与者接受疫苗的关键决定因素。在完成问卷调查的254名参与者中,219人(86.2%)表示愿意接种COVID-19疫苗,而10人(4.0%)承认犹豫,25人(9.8%)不确定。年龄较小(18-44岁)、女性、无合并发病、受教育程度较低、目前的就业状况、个人有COVID-19确诊感染史以及任何家庭成员/朋友有COVID-19确诊感染史是与接受COVID-19疫苗意愿显著相关的因素。在印度第二波COVID-19大流行期间,北方邦的一般人群对COVID-19疫苗的接受度很高,而对疫苗安全性的担忧可能会阻碍疫苗的实际接受。(1).大规模疫苗接种是控制当前COVID-19大流行的有效途径之一(2)。全球不同人群和亚群体对COVID-19疫苗的接受程度存在差异(3)。对COVID-19疫苗的犹豫可能会破坏疫情防控工作。(1)印度北部一个邦的普通人群对COVID-19疫苗的接受度似乎很高;然而,对疫苗安全性的担忧可能会阻碍疫苗的实际吸收;(3)需要有针对性的健康教育干预措施,以提高这一人群的COVID-19疫苗接种率。
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引用次数: 1
A cross-sectional study to determine the health profile of patients attending private clinic at chandkheda, Ahmedabad 一项横断面研究,以确定在艾哈迈达巴德chandkheda私人诊所就诊的患者的健康状况
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.003
Jaydeep J. Devaliya, Kavita Banker, Kamesh A Modi
Primary Health Care is the first contact between community and health system. Most of the ailments can be dealt with at this level. So if we know which health problems are more prevalent in community we can improve Primary Health Care. This is a cross-sectional study conducted at a private clinic at chandkheda, Ahmedabad to determine the prevalence of various common health ailments in the community. Study included 100 patients who presented to OPD during the study period. Their standard of living, level of education and their socio-economic status was also considered and all collected data was statistically analyzed. In this study, three most commonly observed disorders were respiratory tract infections (URTI) 17%, Cardiovascular disease 12%, and Gastrointestinal disease 12%. Majority of the diseases in this community can be totally controlled and prevented by taking hygienic measures and modifying their lifestyle, taking medical attention during first onset of symptoms, avoiding self medication, along with social, psychological and spiritual support by treating family physician with adequate information of prescribed medication, health education and follow up.
初级卫生保健是社区与卫生系统之间的第一个接触点。大多数疾病都可以在这个水平上得到治疗。因此,如果我们知道哪些健康问题在社区中更为普遍,我们就可以改善初级卫生保健。这是在艾哈迈达巴德chandkheda的一家私人诊所进行的一项横断面研究,以确定社区中各种常见疾病的流行情况。研究包括100名在研究期间就诊于OPD的患者。还考虑了他们的生活水平、教育水平和社会经济地位,并对收集到的所有数据进行了统计分析。在这项研究中,最常见的三种疾病是呼吸道感染(URTI),占17%,心血管疾病占12%,胃肠道疾病占12%。通过采取卫生措施和改变他们的生活方式,在症状首次出现时接受医疗照顾,避免自我用药,以及通过提供充分的处方药物信息的家庭医生提供社会、心理和精神支持、健康教育和后续行动,可以完全控制和预防这个社区中的大多数疾病。
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引用次数: 0
Stab wound to the heart with cardiac tamponade — A case report 心脏填塞刺伤心脏1例报告
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.006
Pooja Gajmer
The rising incidences of violence nowadays have lead to increased cases of shootings and stabbings being reported. And among the stabbing cases, one of the frequently encountered are penetrating injuries to the heart, which is a highly lethal condition. If not treated promptly, more often than not results in death of the victim. In the scenario that the victim reaches the hospital, a number of factors come into consideration, which have a direct bearing on the outcome, for example, the physiologic state of the victim, involvement of other organs, location of injury, cardiac tamponade, etc. Among these presence of cardiac tamponade is a critical prognostic factor. Various studies have shown that a slow hemorrhage is much better tolerated as it can be gradually accommodated by the pericardium but any acute rise in intrapericardial pressure lead to a fatal effect in cardiac function and death. This scenario is discussed in the case being reported below.
如今暴力事件的不断增加导致了枪击和持刀伤人案件的增加。在刺伤的案件中,最常见的是刺伤心脏,这是一种高度致命的情况。如果不及时治疗,往往会导致受害者死亡。在受害者到达医院的情况下,需要考虑许多因素,这些因素对结果有直接影响,例如受害者的生理状态、其他器官的受累情况、受伤位置、心脏填塞等。其中,心包填塞的存在是一个关键的预后因素。各种研究表明,缓慢出血的耐受性要好得多,因为它可以被心包逐渐适应,但心包内压力的任何急性升高都会导致心功能的致命影响和死亡。这个场景将在下面报告的案例中讨论。
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引用次数: 0
Herbicide poisoning assocaited methhemoglobinemia as a cause of hypoxia — approach & emergency management — A case report 除草剂中毒相关的脱氧血红蛋白血症作为缺氧的原因-方法和应急管理-一个病例报告
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.008
Sudhir Deshpande, Sagar Gupta, Yashawini Tupkary, Shivprasad Sankpal
Methhemoglobinemia — is a altered form of hemoglobin which is associated with impaired O2 transport to body tissues, precipitate by deliberate ingestion of herbicide (larvicide). We report a case with severe methhemoglobinemia due to ingestion of herbicide containing biological extracts & fillers marketed as safe. This is suspected when there is low O2 saturation and disparity between SpO2 level & PaO2 level, timely managed with Methylene Blue & Ascorbic acid as antidote.
脱氧血红蛋白血症-是血红蛋白的一种改变形式,与机体组织的氧运输受损有关,由故意摄入除草剂(杀幼虫剂)沉淀。我们报告了一个严重的甲基血红蛋白血症的情况下,由于摄入除草剂含有生物提取物和填料销售作为安全。当O2饱和度低,SpO2和PaO2水平不一致时,应及时用亚甲基蓝和抗坏血酸解药处理。
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引用次数: 0
Pneumothorax — A rare cause of delayed death in hanging 气胸——绞刑延迟死亡的罕见原因
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.007
A. Veeravijayan, R. Narendar
Hanging is one of the commonest methods of committing suicide. In most cases of hanging, death occurs immediately, usually within 3 to 5 minutes and it is due to asphyxia, cerebral anoxia, vagal inhibition, venous congestion, or injury to the spinal cord. However, more number of cases have been reported in various literatures, in which death has occurred after a certain time period or the patients have been survived after initial resuscitative measures and later died after a prolonged period due to the complications such as aspiration, infections, HIE, etc., In this article, we present a case report of a 24-year old female in which she died three days after the incident due to one or more delayed complications including pneumomediastinum and pneumothorax (a rare finding).
上吊是最常见的自杀方式之一。在大多数上吊病例中,由于窒息、脑缺氧、迷走神经抑制、静脉充血或脊髓损伤,通常在3至5分钟内立即死亡。然而,在各种文献中报道了更多的病例,这些病例发生在一定时间后死亡或患者经过初步复苏措施后存活,但由于误吸、感染、HIE等并发症而在较长时间后死亡。我们报告一名24岁女性,因一种或多种迟发性并发症,包括纵隔气肿和气胸(罕见的发现),在事件发生三天后死亡。
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引用次数: 0
A new variant of COVID-19: But is it less deadly? COVID-19的新变种:但它是否不那么致命?
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.010
Aanchal Anand, S. Hossain, Akashdeep Sharma, U. Shah
WHO designated the variant B.1.1.529 as a variant of concern on 26 November 2021 and since then there have been many speculations regarding its origin and control measures. It is not yet clear if the omicron variant is more transmissible compared to other variants.
世卫组织于2021年11月26日将变种B.1.1.529指定为关注变种,自那时以来,对其来源和控制措施有许多猜测。目前尚不清楚是否组粒变异比其他变异更具传染性。
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引用次数: 0
Exposure to medical education and its role in Covid19 pandemic associated anxiety among medical students in South Kerala 南喀拉拉邦医学生接受医学教育及其在covid - 19大流行相关焦虑中的作用
Pub Date : 2022-03-15 DOI: 10.18231/j.ijfcm.2022.002
A. Karthika
Medical students have varying levels of understanding about Covid19 based on their level of exposure to medical education. This influences their mental health status. There is no clear cut idea about whether Covid19 related anxiety among medical students increases or decreases with increase in scientific knowledge. This study aims to find out the proportion of anxiety related to COVID19 among medical students in South Kerala and assess the role of medical education on anxiety. Analytical cross-sectional study was conducted among 500 medical students in South Kerala. Anxiety was assessed using Generalized Anxiety Disorder7 (GAD-7) scores. Univariate and Bivariate analysis were performed. P value < 0.05 was considered as statistically significant. The median GAD-7 score obtained was three (IQR 5.75). GAD-7 score >10 were reported among 9.8% participants. Anxiety level was found to be significantly associated with the year of admission (p=0.021). Among those who were tested Covid19 positive, 11.9 % hadGAD7 score >10 and among those who faced Covid related stigma, 28.6% had GAD-7 score >10. Association between anxiety and stigma related to Covid19 was found to be statistically significant (p=0.017). Proportion of students with moderately severe or severe anxiety was more among preclinical students and among students who faced Covid19 related stigma. Better knowledge about preventive measures, symptoms, treatment, complications and prognosis of Covid19 can lessen pandemic induced anxiety. Government initiated programs are required to counter the rising levels of stigmatizing attitudes associated with Covid19
医学生受医学教育程度不同,对新冠肺炎的了解程度也不同。这影响了他们的心理健康状况。医学生的新冠肺炎相关焦虑是随着科学知识的增加而增加还是减少,目前还没有明确的说法。本研究旨在了解南喀拉拉邦医学生中与covid - 19相关的焦虑比例,并评估医学教育对焦虑的作用。在南喀拉拉邦的500名医学生中进行了分析横断面研究。使用广泛性焦虑障碍7 (GAD-7)评分评估焦虑。进行单因素和双因素分析。P值< 0.05为差异有统计学意义。获得的GAD-7评分中位数为3分(IQR 5.75)。9.8%的受试者GAD-7评分为bb10。焦虑水平与入学年份显著相关(p=0.021)。在Covid - 19检测呈阳性的人中,11.9%的人的gad7得分为>10,而在面临与Covid相关的耻辱感的人中,28.6%的人的gad7得分为>10。与新冠肺炎相关的焦虑与病耻感之间存在统计学意义(p=0.017)。在临床前学生和面临covid - 19相关耻辱的学生中,中度或重度焦虑的学生比例更高。更好地了解covid - 19的预防措施、症状、治疗、并发症和预后,可以减轻大流行引起的焦虑。需要政府发起的项目来应对与covid - 19相关的污名化态度的上升
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引用次数: 0
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Indian journal of forensic and community medicine
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