Pub Date : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_299_22
A. Mukherji, Sinthiya Bose Mukherji
Moderate-to-severe form of periodontitis is often accompanied by pathological tooth migration. This is characterized by spacing and proclination of teeth. Patients often feel awkward regarding their facial esthetics and seek treatment for the same. Pathological tooth migration is a complex puzzle with various etiological factors to its credit. Treatment often involves time-consuming interdisciplinary approach. Very few case reports have achieved complete resolution of pathological tooth migration by periodontal therapy alone. In this unique case report, periodontal therapy alone could ameliorate pathological tooth migration. Further to it, results are stable for 2 years and continue to be so. Hence, meticulous periodontal therapy is effective in the management of pathologic tooth migration.
{"title":"Amelioration of pathological tooth migration by surgical periodontal therapy alone: A stupendous clinical case report with two year follow up","authors":"A. Mukherji, Sinthiya Bose Mukherji","doi":"10.4103/jdmimsu.jdmimsu_299_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_299_22","url":null,"abstract":"Moderate-to-severe form of periodontitis is often accompanied by pathological tooth migration. This is characterized by spacing and proclination of teeth. Patients often feel awkward regarding their facial esthetics and seek treatment for the same. Pathological tooth migration is a complex puzzle with various etiological factors to its credit. Treatment often involves time-consuming interdisciplinary approach. Very few case reports have achieved complete resolution of pathological tooth migration by periodontal therapy alone. In this unique case report, periodontal therapy alone could ameliorate pathological tooth migration. Further to it, results are stable for 2 years and continue to be so. Hence, meticulous periodontal therapy is effective in the management of pathologic tooth migration.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"503 - 507"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41645641","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_358_22
S. Durge, A. Hande, M. Gawande, Swati K. Patil, Archana Sonone, Aayushi Pakhale
Background: Oral Squamous Cell Carcinoma (OSCC) is the most common malignancy of oral cavity. It remains a leading cause of mortality and morbidity around the world. The mortality rate of OSCC is higher in developing nations. OSCC is predominant in region where the consumption of tobacco and alcohol is high. The mortality of OSCC of tongue is higher as compared to other sites. American Joint Committee on Cancer (AJCC) 8th edition has incorporated depth of invasion (DOI) into T staging. Histopathological assessment by measuring DOI enables us the insight about the extent of invasion by neoplastic cells. Aim and Objectives: To assess the significance of DOI in the prognosis by corelating with the clinicopathological features of OSCC of tongue. Materials and Methods: Surgically operated cases of OSCC of tongue from year 2009 to 2015 in this institute was retrieved from the archival of the department. The patient cohort was categorized into two, DOI ≤ 4mm and with >4mm. Results: We observed statistically significant correlation between clinical TNM stage and DOI > 4mm (P = 0.0015); histopatholgical grading and DOI > 4mm (P = 0.002); metastasis by cervical lymph node (LNM) and DOI > 4mm (P = 0.041). Conclusion: We observed statistically significant correlation of DOI with TNM staging, histopathological grading and LNM. This prognostic factor will help the clinician for treatment management protocol.
{"title":"Assessment of depth of invasion in oral squamous cell carcinoma of the tongue","authors":"S. Durge, A. Hande, M. Gawande, Swati K. Patil, Archana Sonone, Aayushi Pakhale","doi":"10.4103/jdmimsu.jdmimsu_358_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_358_22","url":null,"abstract":"Background: Oral Squamous Cell Carcinoma (OSCC) is the most common malignancy of oral cavity. It remains a leading cause of mortality and morbidity around the world. The mortality rate of OSCC is higher in developing nations. OSCC is predominant in region where the consumption of tobacco and alcohol is high. The mortality of OSCC of tongue is higher as compared to other sites. American Joint Committee on Cancer (AJCC) 8th edition has incorporated depth of invasion (DOI) into T staging. Histopathological assessment by measuring DOI enables us the insight about the extent of invasion by neoplastic cells. Aim and Objectives: To assess the significance of DOI in the prognosis by corelating with the clinicopathological features of OSCC of tongue. Materials and Methods: Surgically operated cases of OSCC of tongue from year 2009 to 2015 in this institute was retrieved from the archival of the department. The patient cohort was categorized into two, DOI ≤ 4mm and with >4mm. Results: We observed statistically significant correlation between clinical TNM stage and DOI > 4mm (P = 0.0015); histopatholgical grading and DOI > 4mm (P = 0.002); metastasis by cervical lymph node (LNM) and DOI > 4mm (P = 0.041). Conclusion: We observed statistically significant correlation of DOI with TNM staging, histopathological grading and LNM. This prognostic factor will help the clinician for treatment management protocol.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"364 - 368"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43159160","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_410_22
R. Dhande, S. Pandey, G. Mishra
Introduction: Hydrocephalus is characterized by imbalance of cerebrospinal fluid formation and absorption. It is manifested as a dilatation of the ventricular system. Computed tomography (CT) is useful in determining the ventricular size and shape as well as the amount of the cerebral cortex present in the evaluation of suspected hydrocephalus. Aim and Objectives: Detection of hydrocephalus and determining the cause of hydrocephalus. Differentiating communicating from noncommunicating (obstructive) hydrocephalus. to assess the severity of the hydrocephalus and seek for any consequences. Materials and Methods: This prospective study included 50 patients referred to the Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, for 1 year. Patients clinically diagnosed with hydrocephalus were included in the study. Multidetector CT (MDCT) imaging was performed on Siemens 16 Slice MDCT machine. Multiplanar reformation and three-dimensional reconstruction were done wherever necessary. Results: 20% were diagnosed to have meningitis, 10% had Intraparenchymal haemorrhage and Intraventricular extension, 12% had aqueduct stenosis, and 12% had communicating hydrocephalus. In the study, 40% of them had communicating-type hydrocephalus or extraventricular obstructive hydrocephalus and 60% had obstructive hydrocephalus. On the CT scan, it was observed that at the lateral ventricle, dilatation was observed in four regions. Frontal horn dilatation (98%), body dilatation (98%), and 100% dilatation were seen at the temporal horn and occipital horn. Among 100 patients, 14% had cortical thinning and thus were classified as severe hydrocephalus with a poor prognosis, and 20% had periventricular edema. Conclusion: CT is the best means of obtaining images as it is easily available, fast, reliable, and compatible with standard life support devices.
{"title":"Multidetector computed tomographic evaluation of hydrocephalus","authors":"R. Dhande, S. Pandey, G. Mishra","doi":"10.4103/jdmimsu.jdmimsu_410_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_410_22","url":null,"abstract":"Introduction: Hydrocephalus is characterized by imbalance of cerebrospinal fluid formation and absorption. It is manifested as a dilatation of the ventricular system. Computed tomography (CT) is useful in determining the ventricular size and shape as well as the amount of the cerebral cortex present in the evaluation of suspected hydrocephalus. Aim and Objectives: Detection of hydrocephalus and determining the cause of hydrocephalus. Differentiating communicating from noncommunicating (obstructive) hydrocephalus. to assess the severity of the hydrocephalus and seek for any consequences. Materials and Methods: This prospective study included 50 patients referred to the Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, for 1 year. Patients clinically diagnosed with hydrocephalus were included in the study. Multidetector CT (MDCT) imaging was performed on Siemens 16 Slice MDCT machine. Multiplanar reformation and three-dimensional reconstruction were done wherever necessary. Results: 20% were diagnosed to have meningitis, 10% had Intraparenchymal haemorrhage and Intraventricular extension, 12% had aqueduct stenosis, and 12% had communicating hydrocephalus. In the study, 40% of them had communicating-type hydrocephalus or extraventricular obstructive hydrocephalus and 60% had obstructive hydrocephalus. On the CT scan, it was observed that at the lateral ventricle, dilatation was observed in four regions. Frontal horn dilatation (98%), body dilatation (98%), and 100% dilatation were seen at the temporal horn and occipital horn. Among 100 patients, 14% had cortical thinning and thus were classified as severe hydrocephalus with a poor prognosis, and 20% had periventricular edema. Conclusion: CT is the best means of obtaining images as it is easily available, fast, reliable, and compatible with standard life support devices.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"450 - 454"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49019648","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_518_22
C. Divecha, R. Ranganath, S. Kore, Rawan Nasser Mohammed Al Maskari, Shahd Ali Said Al Dhahli, M. Simon
Objectives: Noncommunicable diseases (NCDs) in adulthood often have origins in childhood and adolescent lifestyle behaviors. The COVID pandemic has had a profound impact on people worldwide due to lockdowns and restrictions. The aim of this pilot study was to analyze the change in lifestyle and dietary preferences of schoolgoing adolescents in Oman during the COVID outbreak. Materials and Methods: A cross-sectional study was conducted among adolescents attending a school in Oman using an online questionnaire. Results: Of the 59 students participating in the pilot survey, the majority (62.7%) felt that their weight was correct; however, 55.8% were still trying to change their weight. Females were 12 times more likely to attempt weight-maintaining/change measures as compared to males. About 55% of students did not consume breakfast regularly; females were more likely to skip breakfast as compared to males. The recommended dietary requirements for daily fruit (>2 times per day) and vegetable (>3 times per day) intake were followed by 59.3% and 27.2% of students, respectively. Only one-fourth of students (25.4%) fulfilled the recommendation of >60 min of physical activity daily; males were 1.5 times more likely to engage in physical activity than females. Two-thirds of students (67.8%) spent an average of 3–6 h/day in sedentary activities. Conclusions: Unhealthy lifestyle behaviors such as skipping breakfast, reduced intake of fruits and vegetables, and reduced physical activity were noted in adolescent schoolgoing children during COVID in Oman. This increases the risk of NCDs in the long term, thus necessitating intervention in childhood and adolescence. Policymakers should focus on health programs and campaigns toward increasing awareness of healthy lifestyles and dietary behaviors, especially during the pandemic to inculcate healthy habits from an early age.
{"title":"Lifestyle and dietary preferences during the COVID-19 pandemic: A pilot study in schoolgoing adolescents in Oman","authors":"C. Divecha, R. Ranganath, S. Kore, Rawan Nasser Mohammed Al Maskari, Shahd Ali Said Al Dhahli, M. Simon","doi":"10.4103/jdmimsu.jdmimsu_518_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_518_22","url":null,"abstract":"Objectives: Noncommunicable diseases (NCDs) in adulthood often have origins in childhood and adolescent lifestyle behaviors. The COVID pandemic has had a profound impact on people worldwide due to lockdowns and restrictions. The aim of this pilot study was to analyze the change in lifestyle and dietary preferences of schoolgoing adolescents in Oman during the COVID outbreak. Materials and Methods: A cross-sectional study was conducted among adolescents attending a school in Oman using an online questionnaire. Results: Of the 59 students participating in the pilot survey, the majority (62.7%) felt that their weight was correct; however, 55.8% were still trying to change their weight. Females were 12 times more likely to attempt weight-maintaining/change measures as compared to males. About 55% of students did not consume breakfast regularly; females were more likely to skip breakfast as compared to males. The recommended dietary requirements for daily fruit (>2 times per day) and vegetable (>3 times per day) intake were followed by 59.3% and 27.2% of students, respectively. Only one-fourth of students (25.4%) fulfilled the recommendation of >60 min of physical activity daily; males were 1.5 times more likely to engage in physical activity than females. Two-thirds of students (67.8%) spent an average of 3–6 h/day in sedentary activities. Conclusions: Unhealthy lifestyle behaviors such as skipping breakfast, reduced intake of fruits and vegetables, and reduced physical activity were noted in adolescent schoolgoing children during COVID in Oman. This increases the risk of NCDs in the long term, thus necessitating intervention in childhood and adolescence. Policymakers should focus on health programs and campaigns toward increasing awareness of healthy lifestyles and dietary behaviors, especially during the pandemic to inculcate healthy habits from an early age.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"415 - 421"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49578980","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_128_22
A. Alsayyah, Aisha Almulhim
Objectives: While laboratory accreditation has improved laboratory practices in several countries, its effectiveness in laboratories in Saudi Arabia remains unclear. This survey aims to assess the impact of laboratory accreditation on laboratory practices across the country. Materials and Methods: In this cross-sectional study, we surveyed laboratory practitioners (n = 207) across Saudi Arabia from September 21 to October 22 using an online questionnaire created over Monkey Survey. Practitioners were queried regarding their laboratory accreditation, practices, and the observed impact on patient laboratory testing. Data were analyzed using IBM Statistical Package for the Social Sciences (SPSS) software and potential associations were assessed using the Chi-square test. P < 0.05 was considered statistically significant in all cases. Results: Laboratories with a higher number of accreditations were more likely to have documented standard operating procedures (SOPs) (P = 0.039) and more frequent reviews of laboratory policies and procedures (P = 0.002). Practitioners in our study were more likely to have noticed an overall improvement in patient laboratory testing if their institutes adhered to the components of the accreditation process, such as documented SOPs for testing (P = 0.017), availability of safety manuals (P < 0.01), written policies of internal and external quality assurance programs (P = 0.007), regular meetings to maintain accreditations (P ≤ 0.001), and availability of a task force team to maintain the accreditation program (P ≤ 0.001). Conclusion: This survey suggests that accreditation has had an overall positive impact on laboratory practices and patient laboratory testing in Saudi Arabia.
{"title":"What has been the impact of laboratory accreditation in Saudi Arabia? A cross-sectional survey of laboratory practitioners","authors":"A. Alsayyah, Aisha Almulhim","doi":"10.4103/jdmimsu.jdmimsu_128_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_128_22","url":null,"abstract":"Objectives: While laboratory accreditation has improved laboratory practices in several countries, its effectiveness in laboratories in Saudi Arabia remains unclear. This survey aims to assess the impact of laboratory accreditation on laboratory practices across the country. Materials and Methods: In this cross-sectional study, we surveyed laboratory practitioners (n = 207) across Saudi Arabia from September 21 to October 22 using an online questionnaire created over Monkey Survey. Practitioners were queried regarding their laboratory accreditation, practices, and the observed impact on patient laboratory testing. Data were analyzed using IBM Statistical Package for the Social Sciences (SPSS) software and potential associations were assessed using the Chi-square test. P < 0.05 was considered statistically significant in all cases. Results: Laboratories with a higher number of accreditations were more likely to have documented standard operating procedures (SOPs) (P = 0.039) and more frequent reviews of laboratory policies and procedures (P = 0.002). Practitioners in our study were more likely to have noticed an overall improvement in patient laboratory testing if their institutes adhered to the components of the accreditation process, such as documented SOPs for testing (P = 0.017), availability of safety manuals (P < 0.01), written policies of internal and external quality assurance programs (P = 0.007), regular meetings to maintain accreditations (P ≤ 0.001), and availability of a task force team to maintain the accreditation program (P ≤ 0.001). Conclusion: This survey suggests that accreditation has had an overall positive impact on laboratory practices and patient laboratory testing in Saudi Arabia.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"398 - 404"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44394841","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_118_23
M. Lakra, B. Lakhkar, A. Taksande
{"title":"A rare case of a diagnostic dilemma of coarctation of the aorta in newborn","authors":"M. Lakra, B. Lakhkar, A. Taksande","doi":"10.4103/jdmimsu.jdmimsu_118_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_118_23","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"587 - 588"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44603829","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_390_21
N. Thosar, Rutuja Wayakar, Rashi Srivastava, Jayati Mehta
Background: The purpose of the study is to illustrate the preferential levels of e-learning and to highlight the effect of e-learning in comparison to the traditional method of learning among students to ultimately improve academic performance. Aims: The aim of this study is to compare and evaluate the expectations and effects of e-learning on the dental education among students and staff members at a private dental college of Wardha district, Maharashtra. Methodology: A cross-sectional study was conducted on 499 students to assess the perception of undergraduate students, interns, and faculty members of a private dental college of Wardha district, Maharashtra, on the impact of e-learning on the understanding of lectures during the COVID-19 period. For data collection, an online questionnaire using Google Forms was prepared. For further understanding of the data, 21 questions were divided into three sections. The first section collects data regarding demographic details such as age, sex, and professional status. The second section had questions regarding the choice of e-learning tools and feasibility, whereas the third section had questions to understand the impact of e-learning on mental and physical health as well as effect on curriculum. Statistical Analysis Used: For statistical analysis, SPSS version 24 was used. Analysis of statistics by Chi-square test was done using descriptive and inferential statistics. Results: All faculty members, interns, PGs, and UGs agreed that their screen time increased during COVID-19 as online classes were the primary source of learning. During this era, out of all, 67.89% of faculties, 62.96% of interns, 54.95% of UGs, and 60.67% of PGs encountered vision-related problems such as headache, burning sensation, and dryness of eyes. Faculty members experienced back and neck pain. Almost all participants agreed that they felt isolated using e-lectures. Further, when they were asked about their preferred mode for learning, live/offline mode was preferred over e-learning by 100% of faculty members, 93.63% of interns, 86.08% of UGs, and 88.89% of PGs. Furthermore, all participants showed their strong disagreement for using e-learning as their primary source of learning. Conclusions: During COVID-19, e-learning helped us to provide education across the country; however, its use as primary learning media should be judiciously carried out as it may affect the mental and physical health of the patient in long term.
{"title":"Evaluation of effect of e-learning on the curriculum during the COVID-19 era at a private dental college of Wardha District, Maharashtra: A cross-sectional study","authors":"N. Thosar, Rutuja Wayakar, Rashi Srivastava, Jayati Mehta","doi":"10.4103/jdmimsu.jdmimsu_390_21","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_390_21","url":null,"abstract":"Background: The purpose of the study is to illustrate the preferential levels of e-learning and to highlight the effect of e-learning in comparison to the traditional method of learning among students to ultimately improve academic performance. Aims: The aim of this study is to compare and evaluate the expectations and effects of e-learning on the dental education among students and staff members at a private dental college of Wardha district, Maharashtra. Methodology: A cross-sectional study was conducted on 499 students to assess the perception of undergraduate students, interns, and faculty members of a private dental college of Wardha district, Maharashtra, on the impact of e-learning on the understanding of lectures during the COVID-19 period. For data collection, an online questionnaire using Google Forms was prepared. For further understanding of the data, 21 questions were divided into three sections. The first section collects data regarding demographic details such as age, sex, and professional status. The second section had questions regarding the choice of e-learning tools and feasibility, whereas the third section had questions to understand the impact of e-learning on mental and physical health as well as effect on curriculum. Statistical Analysis Used: For statistical analysis, SPSS version 24 was used. Analysis of statistics by Chi-square test was done using descriptive and inferential statistics. Results: All faculty members, interns, PGs, and UGs agreed that their screen time increased during COVID-19 as online classes were the primary source of learning. During this era, out of all, 67.89% of faculties, 62.96% of interns, 54.95% of UGs, and 60.67% of PGs encountered vision-related problems such as headache, burning sensation, and dryness of eyes. Faculty members experienced back and neck pain. Almost all participants agreed that they felt isolated using e-lectures. Further, when they were asked about their preferred mode for learning, live/offline mode was preferred over e-learning by 100% of faculty members, 93.63% of interns, 86.08% of UGs, and 88.89% of PGs. Furthermore, all participants showed their strong disagreement for using e-learning as their primary source of learning. Conclusions: During COVID-19, e-learning helped us to provide education across the country; however, its use as primary learning media should be judiciously carried out as it may affect the mental and physical health of the patient in long term.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"387 - 391"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48602911","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_366_23
R. Kumari, Shruti, Neena Vir Singh, M. Rohit
Background: Diagnosis of cardiovascular disorders in children is a very stressful time for the entire family. During this period family caregivers are anxious about their child's condition. At this time, nurses play an important role to educate the parents or caregivers about the child's health, procedure that has to be performed, and pre- and post-operative care after procedure. This study was conducted to assess the effectiveness of an “instructional module” on knowledge and anxiety of caregivers of children undergoing cardiac catheterization. Materials and Methods: Caregivers of children with congenital heart disease were randomly enrolled in two groups with 30 caregivers in each control and experimental group. Preoperative knowledge and anxiety in both the groups were assessed by a self-structured questionnaire and the State-Trait Anxiety Inventory. An instructional module in the form of a booklet regarding cardiac catheterization was developed and administered to the experimental group while the control group received routine care instuctions. Caregivers' postintervention knowledge was assessed by a structured knowledge questionnaire. Results: Median knowledge score was 2 (2–2) in the control group and 2 (1–2) in the experimental group among caregivers of the children during preintervention phase. The median anxiety score of the caregivers of children underwent cardiac catheterization during preintervention phase was 57.50 (47–61) in the control group and 53 (47.75–56) in the experimental group. The results revealed that there was a significant improvement in knowledge score regarding cardiac catheterization procedure and also there was reduction in the level of anxiety among caregivers in the postintervention experimental group (P < 0.001). Conclusion: The study suggests that the “instructional module” is effective in reducing the anxiety and improving the knowledge levels of caregivers regarding the preoperative and postoperative care of children who underwent cardiac catheterization.
{"title":"Effectiveness of an instructional module on knowledge and anxiety of caregivers of children undergoing cardiac catheterization – An experimental study","authors":"R. Kumari, Shruti, Neena Vir Singh, M. Rohit","doi":"10.4103/jdmimsu.jdmimsu_366_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_366_23","url":null,"abstract":"Background: Diagnosis of cardiovascular disorders in children is a very stressful time for the entire family. During this period family caregivers are anxious about their child's condition. At this time, nurses play an important role to educate the parents or caregivers about the child's health, procedure that has to be performed, and pre- and post-operative care after procedure. This study was conducted to assess the effectiveness of an “instructional module” on knowledge and anxiety of caregivers of children undergoing cardiac catheterization. Materials and Methods: Caregivers of children with congenital heart disease were randomly enrolled in two groups with 30 caregivers in each control and experimental group. Preoperative knowledge and anxiety in both the groups were assessed by a self-structured questionnaire and the State-Trait Anxiety Inventory. An instructional module in the form of a booklet regarding cardiac catheterization was developed and administered to the experimental group while the control group received routine care instuctions. Caregivers' postintervention knowledge was assessed by a structured knowledge questionnaire. Results: Median knowledge score was 2 (2–2) in the control group and 2 (1–2) in the experimental group among caregivers of the children during preintervention phase. The median anxiety score of the caregivers of children underwent cardiac catheterization during preintervention phase was 57.50 (47–61) in the control group and 53 (47.75–56) in the experimental group. The results revealed that there was a significant improvement in knowledge score regarding cardiac catheterization procedure and also there was reduction in the level of anxiety among caregivers in the postintervention experimental group (P < 0.001). Conclusion: The study suggests that the “instructional module” is effective in reducing the anxiety and improving the knowledge levels of caregivers regarding the preoperative and postoperative care of children who underwent cardiac catheterization.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"438 - 443"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48334465","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 : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_184_23
Priyanka Hansraj Yadav, S. Dhaka, Sham Lohiya, K. Gowda
The most common acute hyperglycemic emergency encountered in type-1 people with diabetes is diabetic ketoacidosis (DKA). The patient presents with a myriad of symptoms, such as nausea, vomiting, abdominal pain, anorexia, and dehydration, along with symptoms of hyperglycemia, such as polyphagia, polyuria, or polydipsia. The condition may progress rapidly and most likely mask coexisting diseases such as acute pancreatitis (AP), in which the patient primarily presents with emesis and abdominal pain. Clinically, apparent pancreatitis is uncommon in children with DKA and might thus be missed, worsening the outcome and even becoming life-threatening. Therefore, we present a rare case of a 13-year-old diabetic who was timely diagnosed with DKA complicated with AP without hypertriglyceridemia and thus treated for the same, leading to a better prognosis.
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Pub Date : 2023-07-01DOI: 10.4103/jdmimsu.jdmimsu_371_23
Bivek Singh, Prabakaran Shankar
{"title":"Knowledge of research before and after a webinar for health science students","authors":"Bivek Singh, Prabakaran Shankar","doi":"10.4103/jdmimsu.jdmimsu_371_23","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_371_23","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"583 - 584"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43163755","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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