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Bibliometric analysis of media reporting of suicide: A worldview 媒体自杀报道的文献计量分析:一种世界观
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_376_21
Sujit Kar, Kritika Chawla, B. Kumari, Ankita Saroj, Ashutosh Kumar Singh, Bandna Gupta, A. Tripathi, Shashwat Saxena
Suicide is a global mental health challenge and suicides frequently get a wide media coverage. The media reporting of suicide and subsequent suicides are closely associated. Studies reveal country wise variations in the quality of media reporting. We aimed to do a bibliometric analysis of the published research on media reporting of suicide. All the published articles available on the PubMed database from the time of inception till August 2021 were included in the study. All the PubMed IDs of the articles were entered in Harvard Catalyst, a free online software, for bibliometric analysis, and data were extracted and verified. A total of 158 published articles were identified. The average number of authors per article was 5.108 and the average number of times an article cited was 9.639 (excluding self-citation). The h-index of the published articles was 19. The Crisis journal published the maximum number of articles (n = 24). The highest number of average citations was for systematic reviews. Maximum articles were published in 2020 (n = 27). Suicide reporting in the media is an important subject of suicide research. However, original studies on this subject are few. Large-scale studies will contribute to the development of an evidence base for future recommendations and guidelines on this important subject.
自杀是一项全球性的精神卫生挑战,自杀经常得到媒体的广泛报道。媒体对自杀的报道与随后的自杀密切相关。研究揭示了各国媒体报道质量的差异。我们的目的是对媒体报道自杀的已发表研究进行文献计量学分析。PubMed数据库从建站到2021年8月的所有已发表的文章都被纳入研究。所有文章的PubMed id在Harvard Catalyst免费在线软件中输入,进行文献计量学分析,提取数据并进行验证。共确定了158篇已发表文章。平均每篇文章的作者数为5.108人,平均被引次数为9.639次(不含自引)。发表文章的h指数为19。《危机》杂志发表的文章最多(n = 24)。平均引用次数最多的是系统评价。发表文章最多的年份是2020年(n = 27)。媒体对自杀的报道是自杀研究的一个重要课题。然而,关于这一主题的原创研究很少。大规模的研究将有助于为今后关于这一重要问题的建议和准则建立证据基础。
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引用次数: 0
Eosinophilic granuloma with metachronous actinomycosis – A case report with literature review 嗜酸性肉芽肿伴异时性放线菌病1例并文献复习
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_153_22
Soundararajan K, S. Prabhu, Pallavi Sabarad, R. Abdulla
Eosinophilic granuloma (EG) is a type of histiocytosis X with uncertain etiology. The lesion manifests as single or multiple areas of bone destruction with mild-to-severe pain or may be asymptomatic in some cases. In this article, a case of EG with actinomycosis is reported which occurred in an 11-year-old male in the left buccal vestibule extending from 22 to 24. Histopathologically, it showed dense, cellular infiltrate in the connective tissue composed of abundant eosinophils intermixed with atypical cells. After 4 months, the same patient reported with a recurrence in the palatal region. Histopathologically, the section showed some colonies of actinomycosis along with the features of EG. EG with metachronous actinomycosis is very rare in the literature. This article reports a new case of EG with actinomycosis and reviews previously reported cases of actinomycosis associated with other lesions.
嗜酸性肉芽肿(EG)是一种病因不明的组织细胞增多症。病变表现为单个或多个骨破坏区域,伴轻度至重度疼痛,或在某些情况下无症状。本文报告一例EG伴放线菌病,患者为11岁男性,左颊前庭22 ~ 24岁。组织病理学表现为结缔组织中密集的细胞浸润,由丰富的嗜酸性粒细胞和非典型细胞混合组成。4个月后,同一患者报告在腭区复发。组织病理学切片显示放线菌菌落,伴EG特征。异时性放线菌病合并EG在文献中非常罕见。本文报告了一例新的EG伴放线菌病,并回顾了以往报道的放线菌病伴其他病变的病例。
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引用次数: 0
Grading of prostate cancer: Evolution and changing concepts 前列腺癌分级:演变和观念的改变
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_90_22
Vijayalaxmi M Dhorigol, R. Kangle
Grading system for prostatic cancer (PC) was first described in1966 by Dr. Donald Gleason. Over the years, histologic, clinical diagnosis and management of PCa have evolved, leading to revisions of the Gleason system first by the International Society of Urological Pathology (ISUP) in 2005 and more recently in 2014. Unlike the original Gleason score (GS) ranging from 2 to 10, the current system no longer assign Scores 2–5, the lowest score being 6. The new grading system of 2014 proposed Five Grade Groups based on revised GS which produces a smaller number of grades with the most significant prognostic differences and may contribute to a decrease in the overtreatment of low-grade PC detected by prostate-specific antigen screening. This review provides an update on the evolution and revision of the Gleason grading system, with a discussion on the deficiencies, benefits, and limitations of the revised and new grading system of ISUP 2005, 2014, and 2019.
前列腺癌(PC)的分级系统是由Donald Gleason博士于1966年首次提出的。多年来,前列腺癌的组织学、临床诊断和治疗不断发展,导致Gleason系统首次由国际泌尿病理学会(ISUP)于2005年修订,最近在2014年修订。与原来的2 ~ 10分的格里森评分(GS)不同,现在的评分系统不再是2 ~ 5分,最低分为6分。2014年的新分级系统基于修订后的GS提出了5个分级组,产生的分级数量较少,预后差异最显著,可能有助于减少通过前列腺特异性抗原筛查检测到的低级别PC的过度治疗。本综述提供了Gleason分级系统的发展和修订的最新情况,并讨论了修订后的ISUP 2005、2014和2019的新分级系统的不足、优点和局限性。
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引用次数: 0
Rhinoscleroma – still a predominant entity managed by rubber tube recanalization 鼻硬结瘤-仍然是一个主要的实体管理的橡胶管再通
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_136_22
Y. Singh, A. Harugop, SPuneeth Nayak, Rahul Gulaganji
Rhinoscleroma is a chronic granulomatous infection affecting the nasal cavity and nasopharynx primarily. It results in functional and esthetic sequelae in patients. A patient presented to us with chronic extensive vestibular stenosis with external deformity of the nose. The patient underwent multistaged diagnostic nasal endoscopy with biopsy and recanalization using a sterile rubber catheter which showed significant clinical improvement. This case demonstrates that medical advancements have enabled a quicker diagnosis of rhinoscleroma and recanalization still remains an essential entity in managing the sequelae of rhinoscleroma.
鼻硬化瘤是一种慢性肉芽肿性感染,主要影响鼻腔和鼻咽部。它会给患者带来功能和审美上的后遗症。一个病人向我们提出慢性广泛前庭狭窄与外部畸形的鼻子。患者接受了多阶段诊断性鼻内镜活检和无菌橡胶导管再通术,临床表现明显改善。本病例表明,医学进步使鼻硬化瘤的诊断更快,再通术仍然是治疗鼻硬化瘤后遗症的重要手段。
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引用次数: 0
Misconceptions about diabetes mellitus among diabetes patients: A cross-sectional study 糖尿病患者对糖尿病的误解:一项横断面研究
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_383_21
Suyesha Nalavadey, S. Baliga
BACKGROUND: Diabetes mellitus is a lifestyle-related painless disease. India has the highest diabetes burden in the world and is called as the “Diabetic Capital of the world.” Even though the disease is so rampant, there are ample misconceptions about diabetes and this has become a hurdle in effective management and control of the disease. MATERIALS AND METHODS: A cross-sectional study was conducted at the urban health center among 200 diabetics. Patients were asked about their belief in misconceptions regarding diet, exercise, treatment-seeking behavior, and self-care of diabetes. RESULTS: From a total of 200 participants, 112 (56%) were females. Majority 183 (91.5%) were self-monitoring their blood glucose. More than half of the participants were on oral hypoglycemic drugs. In this study factors such as low educational status, participants staying in joint family, low socioeconomic class, participants on oral hypoglycemic drugs, participants on both oral hypoglycemic drugs and insulin, participants on herbal treatment had more prevailing misconceptions regarding diabetes. CONCLUSION: There were many prevailing misconceptions among the diabetic patients, especially related to diet, treatment, and self-care. Regular health education programs regarding misconceptions can change the attitude of diabetic patients and improve their compliance toward treatment.
背景:糖尿病是一种与生活方式相关的无痛性疾病。印度是世界上糖尿病负担最高的国家,被称为“世界糖尿病之都”。尽管这种疾病如此猖獗,但人们对糖尿病仍有很多误解,这已经成为有效管理和控制这种疾病的障碍。材料与方法:在城市卫生中心对200名糖尿病患者进行横断面研究。患者被问及他们对饮食、运动、寻求治疗行为和糖尿病自我护理的误解。结果:在总共200名参与者中,112名(56%)为女性。183例(91.5%)自我监测血糖。超过一半的参与者服用口服降糖药。在本研究中,受教育程度低、共同家庭、社会经济阶层低、口服降糖药、口服降糖药和胰岛素联合使用、草药治疗等因素对糖尿病的误解更为普遍。结论:糖尿病患者在饮食、治疗、自我保健等方面普遍存在误区。定期开展有关误解的健康教育,可以改变糖尿病患者的态度,提高其对治疗的依从性。
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引用次数: 0
Effect of self-instructional module on knowledge regarding care of arteriovenous fistula among hemodialysis patients in selected hospitals, Guwahati, Assam 阿萨姆邦古瓦哈蒂选定医院血液透析患者动态静脉瘘护理知识自学模块的影响
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_92_22
K. Devi, M. Sengupta
BACKGROUND: Chronic kidney disease is a major public health problem. Arteriovenous fistulas (AV fistulas) are considered the gold standard for hemodialysis vascular access based on their superior patency, low complication rates, improved adequacy, lower cost to the healthcare system, and decreased risk of patient mortality. A failing AV fistula places the patient at risk for inadequate dialysis, which can lead to numerous complications and increased morbidity and mortality. Patient education support patients to live the best possible quality of life. It instills patient self-confidence to help them carry out behavior necessary to reach the desired goal. OBJECTIVE: The purpose of the study is to determine the effect of self-instructional module by comparing the pretest and posttest knowledge scores regarding care of AV fistula among hemodialysis patients. MATERIALS AND METHODS: With a quantitative approach, preexperimental one-group pretest-posttest design was adopted for the study. In this study, 64 hemodialysis patients with AV fistula were selected by using nonprobability convenient sampling technique. The tools used for the study were demographic variables, self-structured knowledge questionnaire and self-instructional module. RESULTS: The study revealed that the mean posttest knowledge score (12) was significantly higher than the mean pretest knowledge score (7.32) as evidenced by t = 5.65 (P = 0.05) and P = 0.0001, which shows that self-instructional module was effective on care of AV fistula. It also revealed that there was significant association between pretest knowledge score and selected demographic variables of educational status and previous exposure to information. CONCLUSION: A similar study can be taken on large scale for better generalization. On the basis of the findings, the researcher concluded that self-instructional module on care of AV fistula was effective among hemodialysis patients.
背景:慢性肾脏疾病是一个主要的公共卫生问题。动静脉瘘(AV瘘)被认为是血液透析血管通路的金标准,基于其优越的通畅性,低并发症发生率,提高充分性,降低医疗保健系统成本,降低患者死亡风险。房内瘘失败会使患者面临透析不足的风险,这可能导致许多并发症,并增加发病率和死亡率。患者教育支持患者尽可能过上高质量的生活。它灌输耐心的自信,帮助他们采取必要的行为来达到预期的目标。目的:通过比较血液透析患者房内瘘护理的前测和后测知识得分,确定自学模块的效果。材料与方法:采用定量方法,采用实验前一组前测后测设计。本研究采用非概率方便抽样技术,选取64例房内瘘血液透析患者。研究工具为人口统计变量、自构知识问卷和自学模块。结果:研究发现,患者的后测知识平均得分(12分)显著高于前测知识平均得分(7.32分),t = 5.65 (P = 0.05)和P = 0.0001,说明自学模块对房内瘘的护理是有效的。测验前知识得分与教育状况和以往信息暴露等人口统计学变量之间存在显著相关。结论:可以进行大规模的类似研究,以更好地推广。在此基础上,研究人员得出结论,在血液透析患者中,房内瘘护理的自学模块是有效的。
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引用次数: 0
The coexistence of concha bullosa and nasal septum deviation in adult Nigerians 尼日利亚成年人鼻甲大疱和鼻中隔偏曲的共存
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_379_21
B. Ominde, P. Igbigbi
BACKGROUND: Concha bullosa (CB) with an associated nasal septum deviation (NSD) compromises the paranasal sinus drainage through the osteomeatal complex hence predisposing to sinus disease. This study aimed at elucidating the concomitant existence of CB and NSD in adult Nigerians. MATERIALS AND METHODS: Following institutional ethical approval, brain computed tomography images of 336 patients (199 males and 137 females) aged ≥ 20 years were analyzed for CB and NSD in the Radiology Department of a Teaching Hospital. Using the Statistical Package for the Social Sciences software version 23, the prevalence of these variants was expressed in percentages, and their association was probed using the Chi-square test. The angle of septum deviation was summarized in means and standard deviations. The differences in deviation angle in the presence of either ipsilateral or contralateral CB were assessed using the independent t-test. P < 0.05 was considered statistically significant. RESULTS: The prevalence of coexisting CB and NSD was 77, 22.9%. There was a significant preponderance of NSD away from a unilateral or dominant CB (54, 84.4%) (P = 0.022). This deviation occurred at a significantly higher angle (11.82° ± 2.21°) than deviation toward a CB (9.86° ± 2.63°) (P = 0.036). CONCLUSION: The awareness of the association between CB and NSD in our population emphasizes on mandatory preoperative radiological evaluation to aid in planning for safe endoscopic surgeries through the nose.
背景:大耳甲(CB)伴鼻中隔偏曲(NSD)影响鼻副窦通过骨道复体的引流,因此易患鼻窦疾病。本研究旨在阐明尼日利亚成年人中CB和NSD的共存。材料与方法:经机构伦理批准,对某教学医院放射科年龄≥20岁的336例患者(男199例,女137例)的脑ct图像进行CB和NSD分析。使用社会科学软件版本23的统计软件包,这些变异的流行率以百分比表示,并使用卡方检验来探究它们的关联。用均值和标准差来总结中隔偏角。在同侧或对侧CB存在时,偏差角的差异使用独立t检验进行评估。P < 0.05为差异有统计学意义。结果:合并CB和NSD的患病率分别为77,22.9%。远离单侧或显性CB的NSD占显著优势(54,84.4%)(P = 0.022)。这一偏差发生的角度(11.82°±2.21°)明显大于向CB的偏差(9.86°±2.63°)(P = 0.036)。结论:在我们的人群中,对CB和NSD之间关系的认识强调了强制性的术前放射学评估,以帮助计划安全的鼻内镜手术。
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引用次数: 0
Aerobic bacterial study of postoperative lower segment cesarean site wound infection 剖宫产术后下段切口感染的需氧细菌研究
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_106_21
K. Pooja, M. Nagmoti
INTRODUCTION: Cesarean section wound infection illustrates a significant load to the health system as it carries an increased risk of infection as compared to normal vaginal delivery. Hence, it is necessary to identify the agents responsible as well as their extent of susceptibility for commonly used antibiotics. MATERIALS AND METHODS: The study was carried out at the Department of Microbiology, Jawaharlal Nehru Medical College. The specimens were inoculated on the blood and MacConkey agar. The colonies were identified by their morphological characteristics and the biochemical tests, antibiotic susceptibility test was carried for the isolated aerobic bacterial isolates. RESULTS: In the present study, Staphylococcus aureus (13, 56.68%) was the most common pathogen isolated, followed by Klebsiella pneumoniae (5, 21.9%). Gram-positive isolates showed greater sensitivity to tetracycline 11 (73.33%), followed by doxycycline (11, 73.33%) and clindamycin (9, 60%). Gram-negative bacteria showed the highest sensitivity meropenem (7, 77.78%), imipenem (6, 66.66%), and piperacillin + tazobactam (6, 66.66%). CONCLUSION: Frequent antimicrobial audit and qualitative research could give an insight into the current antibiotic prescription practices and the factors governing the same.
剖宫产伤口感染给卫生系统带来了巨大的负担,因为与正常阴道分娩相比,它具有更高的感染风险。因此,有必要确定病原及其对常用抗生素的易感程度。材料与方法:本研究在贾瓦哈拉尔·尼赫鲁医学院微生物系进行。将标本接种于血液和麦康基琼脂上。对分离得到的好氧菌进行了菌落形态特征鉴定和生化试验,并进行了药敏试验。结果:本研究中分离到的病原菌以金黄色葡萄球菌(13株,占56.68%)最多,其次是肺炎克雷伯菌(5株,占21.9%)。革兰氏阳性菌株对四环素11的敏感性最高(73.33%),其次为强力霉素11(73.33%)和克林霉素9(60%)。革兰氏阴性菌对美罗培南(7株,77.78%)、亚胺培南(6株,66.66%)、哌西林+他唑巴坦(6株,66.66%)的敏感性最高。结论:频繁的抗菌药物审核和定性研究可以深入了解当前的抗生素处方实践及其影响因素。
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引用次数: 0
Prevalence of deep vein thrombosis in congestive cardiac failure patients 充血性心力衰竭患者深静脉血栓形成的发生率
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_132_21
M. Naik, T. Bhat, Waiz Gowhar, A. Wani
BACKGROUND: Congestive cardiac failure (CCF) and deep vein thrombosis (DVT) may coexist in a patient. The prevalence of DVT has been reported up to 34.1% in CCF patients, and its presence may increase the morbidity and mortality of CCF patients. The presence of DVT may increase the morbidity and mortality of CCF patients. With this background in mind, we conducted a study to know the prevalence of DVT in CCF patients from our part of the world. MATERIALS AND METHODS: An analytical cross-sectional study was carried out over a period of 1 year from March 2015 to February 2016 on 50 patients admitted with CCF to our hospital. After obtaining information on underlying comorbid illness, duration of CCF symptoms, and preliminary investigations, the patients were subjected to venous Doppler ultrasound. RESULTS: A total of 50 patients admitted with the diagnosis of CCF were enrolled in this study. The mean age of patients was 63.28 ± 9.5 years. The mean body mass index of the patients was 24.48 ± 2.8 kg/m2. Five out of 50 patients were found to have deep vein thrombosis in our study. The duration of symptoms of more than 10 days before seeking medical consultation was statistically significant in patients of CCF with DVT. CONCLUSION: In our study, 10% of patients with CCF had DVT on venous Doppler ultrasound. A longer duration of CCF symptoms before seeking medical consultation was significantly associated with DVT in our patients.
背景:充血性心力衰竭(CCF)和深静脉血栓形成(DVT)可能共存于一个患者。据报道,CCF患者中DVT的患病率高达34.1%,其存在可能增加CCF患者的发病率和死亡率。深静脉血栓的存在可能增加CCF患者的发病率和死亡率。考虑到这一背景,我们进行了一项研究,以了解我们地区CCF患者DVT的患病率。材料与方法:对我院2015年3月至2016年2月收治的50例CCF患者进行为期1年的分析性横断面研究。在获得潜在合并症、CCF症状持续时间和初步调查信息后,对患者进行静脉多普勒超声检查。结果:共纳入50例诊断为CCF的患者。患者平均年龄63.28±9.5岁。患者平均体重指数为24.48±2.8 kg/m2。在我们的研究中,50例患者中有5例发现有深静脉血栓形成。CCF合并DVT患者就诊前症状持续时间超过10天的差异有统计学意义。结论:在我们的研究中,10%的CCF患者静脉多普勒超声显示DVT。就诊前CCF症状持续时间较长与深静脉血栓显著相关。
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引用次数: 0
Vitamin D status of children at a tertiary care hospital of Agartala, North-east India: A cross-sectional study 印度东北部阿加尔塔拉三级医院儿童维生素D状况:一项横断面研究
Pub Date : 2022-09-01 DOI: 10.4103/kleuhsj.kleuhsj_135_22
Elvia Jamatia, Sankar Roy, Arpita Das, Portia Dewan, Tapan Debnath
CONTEXT: High prevalence of Vitamin D deficiency (VDD) has been reported in the pediatric population from the different parts of the country. However, there is a lacuna of data on the Vitamin D status of children from the north-eastern part of the country. AIMS: The aim of this study is to assess the serum Vitamin D level and also to find out the prevalence of VDD among children and adolescents in Agartala, a major city in North-east India. SETTINGS AND DESIGN: Cross-sectional descriptive study. MATERIALS AND METHODS: The serum 25 (OH) D levels of 258 children from age 1 to below 18 years, attending the outpatient clinics of the hospital were analyzed from June 2020 to June 2021. STATISTICAL ANALYSIS USED: Data being nonparametric was presented as median and inter quartile range. The group differences were computed by the Mann–Whitney U-test. P < 0.05 was considered statistically significant. RESULTS: Sixty percentage of the study population had insufficient levels of Vitamin D, with girls having significantly lower levels of serum Vitamin D. Only 27% of adolescents had optimum level of serum Vitamin D. CONCLUSION: A high prevalence of Vitamin D insufficiency and VDD was found among the children living in the urban and sub urban areas of Agartala city in North-east India.
背景:据报道,在该国不同地区的儿科人群中,维生素D缺乏症(VDD)的患病率很高。然而,缺乏关于该国东北部儿童维生素D状况的数据。目的:本研究的目的是评估血清维生素D水平,并找出印度东北部主要城市阿加尔塔拉儿童和青少年中VDD的患病率。设置和设计:横断面描述性研究。材料与方法:分析2020年6月至2021年6月在该院门诊就诊的258名1岁至18岁以下儿童的血清25 (OH) D水平。采用统计分析:非参数数据以中位数和四分位数范围表示。通过Mann-Whitney u检验计算组间差异。P < 0.05为差异有统计学意义。结果:60%的研究人群维生素D水平不足,女孩血清维生素D水平明显较低,只有27%的青少年血清维生素D水平最佳。结论:在印度东北部阿加尔塔拉市的城市和城郊地区的儿童中发现维生素D不足和VDD的高发率。
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引用次数: 1
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Indian Journal of Health Sciences and Biomedical Research (KLEU)
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