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Metastatic cystic melanoma of unknown primary masquerading as sarcoma: Report of a rare occurrence 伪装成肉瘤的不明原发转移性囊性黑色素瘤:罕见病例报告
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_189_22
K. Mardi, A. Mehta, Rashpal Thakur
Malignant melanoma of unknown primary is rare. Cystic malignant melanoma is again rare. Metastatic malignant melanoma with unknown primary presenting as a cystic mass in the anteromedial compartment of the thigh masquerading as soft tissue sarcoma has not been reported so far. We report one such rare occurrence in a 63-year-old male and review pertinent literature to increase awareness regarding such unusual presentations of malignant melanoma among radiologists and clinicians.
原发不明的恶性黑色素瘤是罕见的。囊性恶性黑色素瘤也是罕见的。转移性恶性黑色素瘤,原发不明,表现为大腿前内侧隔室的囊性肿块,伪装为软组织肉瘤,迄今未见报道。我们报告一例罕见的63岁男性病例,并回顾相关文献,以提高放射科医生和临床医生对这种不寻常的恶性黑色素瘤的认识。
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引用次数: 0
Incidence of inflammatory reactions after intravitreal injection of a biosimilar of ranibizumab for the treatment of various retinal vascular conditions 用于治疗各种视网膜血管疾病的雷尼单抗生物仿制药玻璃体内注射后炎症反应的发生率
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_234_21
V. Wani, A. Agarwal, A. Tenagi, Bhagyajyothi B. Khanagavi, S. Bubanale, Nagbhushan S Chougule, Chethana Warad
BACKGROUND: Razumab is a biosimilar of ranibizumab and its intravitreal injection in various retinal diseases has been reported with good results. However, the incidence of inflammation in the anterior chamber and vitreous after the intravitreal injection of Razumab has not been studied so far. AIMS OF THE STUDY: The aim of this study was to study the incidence of inflammatory reaction in the anterior chamber and vitreous after intravitreal Razumab. MATERIALS AND METHODS: It was a single-center, nonrandomized observational study of eyes that received intravitreal Razumab injection for various retinal indications. The eyes were examined for anterior chamber and vitreous reaction at regular intervals. Preinjection and postinjection visual acuity and intraocular pressure (IOP) were noted. STATISTICAL ANALYSIS: The proportion of eyes developing anterior chamber and vitreous reaction were calculated with confidence intervals. The pre- and postinjection visual acuity and IOP were compared by Student's t-test for significant changes. RESULTS: Eighty-two injections were performed in 40 eyes of 33 patients. Four eyes (4.8%) showed anterior chamber reaction among which one eye had vitreous reaction also. All four eyes had no adverse effect on visual acuity and recovered completely. Mean preinjection logMAR visual acuity of 0.69 ± 0.41 improved to 0.58 ± 0.38 postinjection (P < 0.0001). The mean preinjection IOP changed from 16.2 ± 3.9 mmHg to 14.7 ± 3.4 mmHg postinjection (P = 0.009). CONCLUSIONS: The incidence of inflammatory reaction was found to be higher with Razumab compared to the incidence reported in the literature for ranibizumab. However, visual acuity was not affected by this inflammatory reaction.
背景:Razumab是雷尼单抗的生物类似药,其玻璃体内注射治疗多种视网膜疾病已有报道,效果良好。然而,玻璃体内注射Razumab后前房和玻璃体炎症的发生率目前尚无研究。研究目的:本研究的目的是研究玻璃体内注射Razumab后前房和玻璃体炎症反应的发生率。材料和方法:这是一项单中心、非随机观察性研究,接受玻璃体内注射Razumab治疗各种视网膜适应症。定期检查前房和玻璃体反应。观察注射前和注射后的视力和眼压。统计学分析:采用置信区间计算眼前房及玻璃体反应发生率。注射前后视敏度和IOP比较,采用Student’st检验,差异有统计学意义。结果:33例患者40只眼共进行82次注射。4眼(4.8%)有前房反应,其中1眼也有玻璃体反应。四眼视力均无不良影响,完全恢复。平均注射前的logMAR视力由0.69±0.41提高到0.58±0.38 (P < 0.0001)。平均眼压由注射前16.2±3.9 mmHg降至注射后14.7±3.4 mmHg (P = 0.009)。结论:与文献报道的雷尼单抗相比,Razumab的炎症反应发生率更高。然而,这种炎症反应不影响视力。
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引用次数: 0
Mustadi Yapana Basti (medicated enema) in the management of oligozoospermia: A case series 药物灌肠在治疗少精症中的应用:一个病例系列
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_178_23
A. Tanwar, Sujata Rajan, Manoj K. Shamkuwar
Infertility is a global issue of concern in the modern era, affecting 8%–12% of couples globally. Although the etiology of infertility is varied and difficult to determine, a good proportion of cases can be attributed to male. The most common cause of male infertility is oligozoospermia. Oligozoospermia is a decrease in sperm concentration below 15 million sperm/ml in semen ejaculate. Shukra Kshaya is a similar clinical condition mentioned in Ayurveda in which the Shukra Dhatu is diminished both qualitatively and quantitatively. Ayurveda has specified many therapeutic interventions and practices, including the Panchakarma procedure, Basti Karma, for the strengthening of Shukra Dhatu as well as the management of Shukra-Dusht. Mustadi Yapana Basti (MYB) was chosen for this study because of its significant Vatahara, Rasayana, and Vajikarana characteristics. A total of 05 patients who were diagnosed with oligozoospermia were managed with MYB for 15 consecutive days without any internal medications. The Shukra Kshaya assessment questionnaire was used in conjunction with objective parameters to determine the improvement. Data were collected twice before and after therapy. After the treatment, all five participants exhibited significant improvement in sperm count from a mean of 10.4–55. In this case series, all the patients demonstrated clinical improvement in symptoms of Shukra kshaya as well as in associated laboratory parameters. Basti treatment significantly improved all symptoms of Shukra Kshaya, as well as semen parameters (sperm count, sperm active motility, and semen volume) and serum testosterone. The reported cases demonstrate that MYB is a therapeutic option for the comprehensive care of men with a diagnosis of oligozoospermia.
不孕症是当今世界关注的一个全球性问题,影响着全球8%-12%的夫妇。尽管不孕不育的病因多种多样且难以确定,但很大一部分病例可归因于男性。男性不育最常见的原因是少精症。少精症是指精液中精子浓度低于1500万个/毫升。Shukra Kshaya是阿育吠陀中提到的一种类似的临床病症,其中Shukra Dhatu在质量和数量上都减少。阿育吠陀已经指定了许多治疗干预和实践,包括Panchakarma程序,Basti Karma,用于加强Shukra Dhatu以及Shukra- dusht的管理。选择Mustadi Yapana Basti (MYB)进行本研究是因为其具有显著的Vatahara, Rasayana和Vajikarana特征。共有05例诊断为少精子症的患者在不使用任何内部药物的情况下连续15天使用MYB治疗。Shukra Kshaya评估问卷结合客观参数来确定改善情况。治疗前后分别收集数据2次。治疗后,所有5名参与者的精子数量从平均10.4-55显著改善。在本病例系列中,所有患者均表现出舒克拉病症状及相关实验室参数的临床改善。巴斯提治疗显著改善了舒克拉病的所有症状,以及精液参数(精子数量、精子活跃度和精液量)和血清睾酮。报告的病例表明,MYB是诊断为少精症的男性的综合护理的治疗选择。
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引用次数: 0
Primary fallopian tube carcinoma: Preoperative diagnostic dilemma 原发性输卵管癌:术前诊断困境
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_677_22
S. Bhalla, Shalini Rawat, Sameer Gupta
Primary fallopian tube carcinoma is an uncommon female genital tract malignancy that resembles epithelial ovarian neoplasm clinically and radiologically. We present a case of 49-year-old woman with postmenopausal intermittent vaginal bleeding, lower abdominal pain, and pelvic mass for 3 months. On physical examination, lower abdominal tenderness was found. Ultrasound examination revealed bilateral hydrosalpinx with hematometra. Her serum cancer antigen-125 was raised (190.0 U/ml). With the clinical diagnosis of endometrial cancer, patient underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy, infracolic omentectomy and rectal deposit biopsy. Microscopic examination showed features of serous adenocarcinoma of the fallopian tube. Histologically, it is indistinguishable from primary ovarian malignancy. On post-surgical follow up at one year the patient is disease free. Here we report this rare entity and review the literature to highlight the preoperative clinical diagnostic difficulties.
原发性输卵管癌是一种罕见的女性生殖道恶性肿瘤,临床和放射学上类似于卵巢上皮性肿瘤。我们报告一个49岁的妇女,绝经后间歇性阴道出血,下腹部疼痛,盆腔肿块3个月。体格检查发现下腹部压痛。超声检查显示双侧输卵管积水伴积血。血清癌抗原-125升高(190.0 U/ml)。因临床诊断为子宫内膜癌,患者行全腹子宫切除术并双侧输卵管-卵巢切除术、结肠下网膜切除术及直肠沉积物活检。显微镜检查显示输卵管浆液性腺癌的特征。组织学上与原发性卵巢恶性肿瘤难以区分。术后随访一年,患者无疾病。在这里,我们报告这种罕见的实体和回顾文献,以强调术前临床诊断的困难。
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引用次数: 0
Spectrum of incidental tumors in autopsy specimens: A histopathological analysis of 797 cases 尸检标本附带肿瘤谱:797例组织病理学分析
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_624_22
B. Mohan, Lesitha Sivaraman, Surekha Vijayan, Aathira Das
INTRODUCTION: Autopsy supplemented with histopathological examination is important in finding the cause and manner of death. Although not common, neoplastic lesions are encountered in autopsy specimens. AIM: The aim of this study was to analyze the various incidental tumors (both benign and malignant) in medicolegal autopsies. MATERIALS AND METHODS: In this retrospective study, a total of 797 medicolegal autopsies done over a period of 2 years (January 2019–December 2020) were analyzed. Cases in which tumors were diagnosed were selected and details including age, gender, death scenario, and other relevant histopathological findings were noted in each of these. RESULTS: We noted 46 tumors out of 797 cases (5.8%). 18 (39.1%) were benign and 28 (60.9%) were malignant. Rare tumors such as central neurocytoma, diffuse astrocytoma, colonic schwannoma, and oligocystic serous cystadenoma of the pancreas were noted. CONCLUSIONS: We found 5.8% of neoplastic lesions in this study. Although the histopathological findings of neoplasms in the autopsies may not contribute to identifying the cause of death in most cases, there have been interesting cases that are a prime focus of academic and research data.
简介:尸检与组织病理学检查相结合,对于发现死因和死亡方式非常重要。虽然不常见,但在尸检标本中会遇到肿瘤病变。目的:本研究的目的是分析各种偶然肿瘤(良性和恶性)在法医尸检。材料与方法:在这项回顾性研究中,共分析了2年(2019年1月- 2020年12月)期间完成的797例法医尸检。选择被诊断为肿瘤的病例,并在每个病例中记录详细信息,包括年龄、性别、死亡情况和其他相关的组织病理学结果。结果:797例患者中发现肿瘤46例(5.8%)。良性18例(39.1%),恶性28例(60.9%)。罕见的肿瘤如中枢神经细胞瘤、弥漫性星形细胞瘤、结肠神经鞘瘤和胰腺少囊性浆液性囊腺瘤。结论:我们在本研究中发现了5.8%的肿瘤病变。虽然在大多数情况下,尸检中肿瘤的组织病理学发现可能无助于确定死亡原因,但有一些有趣的病例是学术和研究数据的主要焦点。
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引用次数: 0
Community knowledge, attitude, and practices for protection against the malaria: A cross-sectional study in a rural area of aspirational district in Haryana, India 社区预防疟疾的知识、态度和实践:印度哈里亚纳邦理想地区农村地区的横断面研究
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_605_22
Ashutosh Kumar Singh, R. Rai, Sanjeet Panesar, Vikas Gupta
INTRODUCTION: Malaria poses a great socioeconomic burden on humanity as it affects the majority of countries in the tropical and subtropical regions. The estimated number of malaria deaths stood at 445,000 in 2016, a similar to the previous year (446,000). This study was conducted with the aim to assess community knowledge, attitude, and practices (KAPs) for protection against the malaria. MATERIALS AND METHODS: This was community-based with a cross-sectional study conducted for 4 months in the 6 villages under the subcenter Sangail, with household as a sampling unit, and study participants were selected by randomized multistage sampling technique. A pretested, predesigned, standardized questionnaire with close-ended responses was developed for data collection. All tests were performed at a 5% level of significance. RESULTS: In the present study, more than one-fifth of participants believed that malaria is due to the wrath of almighty (22.3%) or bad air (30.2%), the restrain was observed in about half of households (54.5%) for indoor indoor residual spray, half of the participants strongly believed that malaria is not a public health issue (45.3%) and more than three-fourth of households (34.8%) were still preferring to sleep outside of their homes. CONCLUSION: KAP of malaria and its control was observed to be low among the study population. Misconceptions about malaria transmission still exist. The result of this study will bring forward the health-care workers with the desired need for health education and promotion on malaria at the first contact either in the health facilities or in the patient's family house on home visit.
疟疾影响到热带和亚热带地区的大多数国家,给人类造成了巨大的社会经济负担。2016年,疟疾死亡人数估计为44.5万人,与前一年(44.6万人)相似。本研究的目的是评估社区预防疟疾的知识、态度和做法。材料与方法:本研究以社区为基础,以家庭为抽样单位,在Sangail副中心下设的6个村进行了为期4个月的横断面研究,采用随机多阶段抽样技术选择研究对象。为了收集数据,开发了一份预先测试、预先设计、标准化的封闭式问卷。所有测试均在5%显著性水平下进行。结果:在本研究中,超过五分之一的参与者认为疟疾是由于上帝的愤怒(22.3%)或恶劣的空气(30.2%),大约一半的家庭(54.5%)对室内残留喷雾有抑制,一半的参与者强烈认为疟疾不是公共卫生问题(45.3%),超过四分之三的家庭(34.8%)仍然倾向于在室外睡觉。结论:研究人群疟疾及其控制的KAP较低。关于疟疾传播的误解仍然存在。这项研究的结果将为卫生保健工作者在第一次接触疟疾时提供所需的卫生教育和宣传,无论是在卫生设施还是在病人家中进行家访。
{"title":"Community knowledge, attitude, and practices for protection against the malaria: A cross-sectional study in a rural area of aspirational district in Haryana, India","authors":"Ashutosh Kumar Singh, R. Rai, Sanjeet Panesar, Vikas Gupta","doi":"10.4103/kleuhsj.kleuhsj_605_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_605_22","url":null,"abstract":"INTRODUCTION: Malaria poses a great socioeconomic burden on humanity as it affects the majority of countries in the tropical and subtropical regions. The estimated number of malaria deaths stood at 445,000 in 2016, a similar to the previous year (446,000). This study was conducted with the aim to assess community knowledge, attitude, and practices (KAPs) for protection against the malaria. MATERIALS AND METHODS: This was community-based with a cross-sectional study conducted for 4 months in the 6 villages under the subcenter Sangail, with household as a sampling unit, and study participants were selected by randomized multistage sampling technique. A pretested, predesigned, standardized questionnaire with close-ended responses was developed for data collection. All tests were performed at a 5% level of significance. RESULTS: In the present study, more than one-fifth of participants believed that malaria is due to the wrath of almighty (22.3%) or bad air (30.2%), the restrain was observed in about half of households (54.5%) for indoor indoor residual spray, half of the participants strongly believed that malaria is not a public health issue (45.3%) and more than three-fourth of households (34.8%) were still preferring to sleep outside of their homes. CONCLUSION: KAP of malaria and its control was observed to be low among the study population. Misconceptions about malaria transmission still exist. The result of this study will bring forward the health-care workers with the desired need for health education and promotion on malaria at the first contact either in the health facilities or in the patient's family house on home visit.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":"49 1","pages":"285 - 291"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86844264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Model rural health research unit's NS1-based serosurveillance recommends for vector control in rural villages of Jaipur district, Rajasthan, India 示范农村卫生研究单位基于ns1的服务监测建议在印度拉贾斯坦邦斋浦尔地区的农村进行病媒控制
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_570_22
C. Meena, Supriya Chouhan, Suresh Yadav, Mahendra Thakor, S. Mohanty
Background: Infectious diseases are important public health issues in India. Rajasthan state reported 20,749 numbers of dengue fever (DF) cases in 2021, which was 10.73% of the country's total dengue cases. Aims and objectives: The aim of the study was to diagnose fever cases in the nearby villages of Model Rural Health Research Unit (MRHRU) through the use of its diagnostic facility and to mitigate the diseases using appropriate control methods. MATERIALS AND METHODS: This is a community health center (CHC)-based serosurveillance study. The study subjects were the patients who reported at the Outpatient Department of the CHCs Bhanpur Kalan and Jamwa Ramgarh of Jaipur district in Rajasthan with clinical suspicion of DF. The study was conducted for 6 months from July to December. The serum samples received from CHC Bhanpur Kalan and Jamwa Ramgarh were tested for the detection of dengue antibodies against NS1 antigen at MRHRU. Results: A total of 148 blood samples were received from CHC and were diagnosed with dengue NS1 at MRHRU. Out of 148 serum samples, 79 were male and 69 were female. Among the 148 samples subjected to the NS1 dengue enzyme-linked immunosorbent assay test, 33.1% were found to be positive for dengue, 63.5% were negative, and 3.37% were equivocal. Out of the 113 samples of Jamwa Ramgarh, 31.8% were found to be NS1 positive and 2.65% were equivocal, wherein 35 serum samples of Amber block were tested for diagnosis of NS1 test, and out of them, 37.14% were NS1 positive and 5.71% were equivocal. Conclusion: The number of dengue cases was observed to be higher, and control measure was taken to stop the spreading of the disease. Early and proper diagnosis of dengue cases is helpful in the treatment and control of disease. MRHRU facility was found to be effective in the containment of the disease.
背景:传染病是印度重要的公共卫生问题。拉贾斯坦邦在2021年报告了20,749例登革热病例,占该国登革热病例总数的10.73%。目的和目标:研究的目的是通过使用示范农村卫生研究单位(MRHRU)的诊断设施诊断附近村庄的发热病例,并使用适当的控制方法减轻疾病。材料和方法:这是一项以社区卫生中心(CHC)为基础的血清监测研究。研究对象是在拉贾斯坦邦斋浦尔地区CHCs Bhanpur Kalan和Jamwa Ramgarh门诊部报告的临床怀疑DF的患者。研究从7月到12月进行了6个月。对从Bhanpur Kalan和Jamwa Ramgarh获得的血清样本进行了MRHRU检测,以检测针对NS1抗原的登革热抗体。结果:共有148份CHC血样经MRHRU诊断为登革热NS1。148份血清样本中,男性79份,女性69份。148份样本进行NS1登革热酶联免疫吸附试验,阳性阳性率为33.1%,阴性阳性率为63.5%,不确定阳性率为3.37%。113份Jamwa Ramgarh血清标本中,NS1阳性31.8%,模棱两可2.65%,其中琥珀块35份血清标本用于NS1检测诊断,其中NS1阳性37.14%,模棱两可5.71%。结论:我市登革热病例呈高发趋势,应采取有效的控制措施,控制疫情的传播。登革热病例的早期和正确诊断有助于疾病的治疗和控制。MRHRU设施被发现在控制疾病方面是有效的。
{"title":"Model rural health research unit's NS1-based serosurveillance recommends for vector control in rural villages of Jaipur district, Rajasthan, India","authors":"C. Meena, Supriya Chouhan, Suresh Yadav, Mahendra Thakor, S. Mohanty","doi":"10.4103/kleuhsj.kleuhsj_570_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_570_22","url":null,"abstract":"Background: Infectious diseases are important public health issues in India. Rajasthan state reported 20,749 numbers of dengue fever (DF) cases in 2021, which was 10.73% of the country's total dengue cases. Aims and objectives: The aim of the study was to diagnose fever cases in the nearby villages of Model Rural Health Research Unit (MRHRU) through the use of its diagnostic facility and to mitigate the diseases using appropriate control methods. MATERIALS AND METHODS: This is a community health center (CHC)-based serosurveillance study. The study subjects were the patients who reported at the Outpatient Department of the CHCs Bhanpur Kalan and Jamwa Ramgarh of Jaipur district in Rajasthan with clinical suspicion of DF. The study was conducted for 6 months from July to December. The serum samples received from CHC Bhanpur Kalan and Jamwa Ramgarh were tested for the detection of dengue antibodies against NS1 antigen at MRHRU. Results: A total of 148 blood samples were received from CHC and were diagnosed with dengue NS1 at MRHRU. Out of 148 serum samples, 79 were male and 69 were female. Among the 148 samples subjected to the NS1 dengue enzyme-linked immunosorbent assay test, 33.1% were found to be positive for dengue, 63.5% were negative, and 3.37% were equivocal. Out of the 113 samples of Jamwa Ramgarh, 31.8% were found to be NS1 positive and 2.65% were equivocal, wherein 35 serum samples of Amber block were tested for diagnosis of NS1 test, and out of them, 37.14% were NS1 positive and 5.71% were equivocal. Conclusion: The number of dengue cases was observed to be higher, and control measure was taken to stop the spreading of the disease. Early and proper diagnosis of dengue cases is helpful in the treatment and control of disease. MRHRU facility was found to be effective in the containment of the disease.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":"30 1","pages":"274 - 277"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85729463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovation in health care – A roadmap for this paradigm shift 卫生保健的创新——这一范式转变的路线图
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_376_23
P. Angadi
The increasing burden of disease, rising health-care costs, rise in the patients' and public's expectations, and aging population all emphasize the constraints in providing quality health care with limited resources. The ability to innovate will be the determining factor in the future of health-care organizations. The editorial gives an overview of the dimensions that come into play to develop an organizational culture or an innovation ecosystem in health science organizations.
疾病负担的增加、医疗费用的上升、患者和公众期望的提高以及人口老龄化都强调了在有限资源下提供优质医疗服务的制约因素。创新能力将是医疗保健组织未来的决定性因素。该社论概述了在卫生科学组织中发展组织文化或创新生态系统所起作用的维度。
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引用次数: 0
Clinicoepidemiological profile of severe acute malnutrition children admitted to the nutritional rehabilitation center of a tertiary care center in Davangere: A retrospective study 达万热某三级保健中心营养康复中心收治的严重急性营养不良儿童的临床流行病学概况:一项回顾性研究
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_485_22
Shalini Hurlihal, G. Vidya, R. Varalakshmi
BACKGROUND: Severe acute malnutrition (SAM) is a major public health problem which the world is facing right now. Nineteen million children in the world are suffering from SAM. The current study was undertaken to study the clinicoepidemiological profile and the treatment outcome of SAM children admitted to the nutritional rehabilitation center (NRC). MATERIALS AND METHODS: A retrospective record-based study was carried out in children with SAM and those who were admitted to NRC during the period of 1 year (March 2018–2019) were included in the study. One hundred and eighteen children were included in the study. RESULTS: Seventy-one (60.16%) belonged to the age group of 1–2 years. Sixty-five (55.08%) presented with symptoms related to gastrointestinal tract, followed by respiratory tract 38 (32.20%). 55.08% of children were cured from SAM after NRC admission. CONCLUSION: NRC provides lifesaving treatment measures for SAM children. The most common symptom in SAM children was symptom of gastrointestinal tract and children were cured from SAM after NRC admission.
背景:严重急性营养不良(SAM)是当今世界面临的一个重大公共卫生问题。世界上有1900万儿童患有SAM。本研究旨在研究营养康复中心(NRC)收治的SAM儿童的临床流行病学概况和治疗结果。材料与方法:对1年(2018年3月- 2019年3月)入住NRC的SAM患儿进行回顾性记录研究。118名儿童参与了这项研究。结果:1 ~ 2岁年龄组71例,占60.16%;65例(55.08%)出现胃肠道相关症状,38例(32.20%)出现呼吸道相关症状。55.08%的患儿在NRC入院后痊愈。结论:NRC为SAM儿童提供了挽救生命的治疗措施。患儿最常见的症状是胃肠道症状,NRC入院后患儿痊愈。
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引用次数: 0
Prevalence and predictors of stress during COVID pandemic among health-care workers in India: A systematic review 印度卫生保健工作者在COVID大流行期间的压力流行率和预测因素:系统综述
Pub Date : 2023-05-01 DOI: 10.4103/kleuhsj.kleuhsj_165_22
Janmejaya Samal, B. Datta, Subbanna Jonnalagada
The COVID-19 pandemic is one of its kinds of public health emergencies that the world is grappling with. The health-care workers (HCWs) were at the forefront of the battle against this scourge. As a result of continuous service delivery, they experienced stress and burnout which varied from the type of HCWs, gender, type of service, and the length of service rendered by them. Given the context, this systematic review assessed the prevalence and predictors of stress among different types of HCWs in India. The systematic review was conducted using PubMed search engine and 13 articles were selected for the purpose of review. Of the 13 studies identified, 11 studies were carried out predominantly in India or in some Indian states and 2 studies were multinational studies, in which samples were also drawn from India. Of these 13 studies, 6, 5, 3, 2, and 2 studies were conducted among the doctors, specialists, nurses, dentists, and allied HCWs in India, respectively. It was observed that the prevalence of stress among HCWs varied with age, gender, type of HCWs, place of work, and duration of work, and the predictors were long working hours, continuous contact with patients, fear of self-infection, stigmatization, and fear of carrying the infection to the family. Stress and burnout among HCWs are inevitable; however, there should be ways and means to have coping behavior else the same would affect the professionals' personal life and patient care. Hence, appropriate measures need to be taken to address this issue by the HCWs themselves, government, and other social sectors organizations.
COVID-19大流行是世界正在努力应对的突发公共卫生事件之一。卫生保健工作者站在抗击这一祸害的最前线。由于持续提供服务,他们感到压力和倦怠,这因卫生保健工作者的类型、性别、服务类型和提供服务的时间长短而异。在此背景下,本系统综述评估了印度不同类型卫生保健工作者的压力患病率和预测因素。使用PubMed搜索引擎进行系统评价,选取13篇文章进行评价。在确定的13项研究中,11项研究主要在印度或印度的一些邦进行,2项研究是多国研究,其中样本也从印度抽取。在这13项研究中,分别有6项、5项、3项、2项和2项研究是在印度的医生、专家、护士、牙医和相关医护人员中进行的。观察发现,卫生保健工作者的压力患病率与年龄、性别、卫生保健工作者类型、工作地点和工作时间有关,预测因素为工作时间长、与患者持续接触、害怕自我感染、污名化和害怕将感染传染给家人。医护人员的压力和倦怠是不可避免的;然而,应该有办法和手段来应对行为,否则同样会影响专业人员的个人生活和病人护理。因此,卫生工作者本身、政府和其他社会组织需要采取适当的措施来解决这个问题。
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引用次数: 0
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Indian Journal of Health Sciences and Biomedical Research (KLEU)
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