首页 > 最新文献

Journal of Datta Meghe Institute of Medical Sciences University最新文献

英文 中文
“After the rains” – A qualitative study exploring flood-related experiences, community response, coping mechanisms, and strategies from Kerala “雨后”——一项定性研究,探讨喀拉拉邦与洪水相关的经验、社区应对、应对机制和策略
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_314_22
G. Mathew, A. Varghese, Sruthy C S Kumar, Avira Chacko
Background: Natural disasters can result in various physical and psychological effects on victims. Kerala witnessed one of the worst floods in 2018. Objective: To explore the flood-related experiences, the role of the community in dealing with the disaster and strategies used for the management of floods in the selected districts of Kerala. Methodology: This qualitative study was done among flood-affected victims residing in three selected districts of Kerala from December 2018 to June 2019. The qualitative data were collected through 16 in-depth interviews and six focus group discussions using a topic guide till data saturation. A sociogram was plotted, and the thematic analysis of data with data triangulation was done to validate the findings. Results: The study identified natural, man-made and supernatural causes of floods. Most respondents described the event as the “Most unexpected disaster of the century.” Floods caused severe psychological trauma to the victims. The elderly and children were the most affected age groups, with behavioral changes noted among children. Fishermen came as “life saviors.” The majority of the victims were shifted to relief camps and were extremely happy with the facilities provided in the camp. The most difficult challenges faced were moving people at night during the flood event and post-flood cleaning. The support provided by government, nongovernmental organizations, and the local community was very much appreciated. Many were grateful for the initial response by the local youth community in their areas. Participants shared that they understood the true meaning of unity and realized the temporary nature of worldly possessions. Self-help group formation and prayer were identified as the most commonly used coping strategy. Conclusion: Addressing man-made causes of floods, empowering local communities, ensuring disaster preparedness, providing psychological support, and preserving the environment are the major strategies that emerged for the effective management of floods in future.
背景:自然灾害会对受害者造成各种生理和心理影响。喀拉拉邦发生了2018年最严重的洪水之一。目的:探讨喀拉拉邦选定地区与洪水相关的经验、社区在应对灾害中的作用以及洪水管理策略。方法:这项定性研究是在2018年12月至2019年6月居住在喀拉拉邦三个选定地区的受洪水影响的受害者中进行的。定性数据是通过16次深度访谈和6次焦点小组讨论收集的,使用主题指南直到数据饱和。绘制了社会图谱,并通过数据三角测量对数据进行了专题分析,以验证研究结果。结果:该研究确定了洪水的自然、人为和超自然原因。大多数受访者将这一事件描述为“本世纪最意想不到的灾难”。洪水给受害者造成了严重的心理创伤。老年人和儿童是受影响最大的年龄组,儿童的行为发生了变化。渔民是“救命恩人”。大多数受害者被转移到救济营,他们对营地提供的设施非常满意。面临的最困难的挑战是在洪水期间的夜间转移人员和洪水后的清理工作。非常感谢政府、非政府组织和当地社区提供的支持。许多人对所在地区当地青年社区的初步反应表示感谢。参与者分享说,他们理解团结的真正含义,并意识到世俗财产的暂时性。组成自助小组和祈祷被认为是最常用的应对策略。结论:解决人为造成洪水的原因、增强当地社区的能力、确保备灾、提供心理支持和保护环境是未来有效管理洪水的主要战略。
{"title":"“After the rains” – A qualitative study exploring flood-related experiences, community response, coping mechanisms, and strategies from Kerala","authors":"G. Mathew, A. Varghese, Sruthy C S Kumar, Avira Chacko","doi":"10.4103/jdmimsu.jdmimsu_314_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_314_22","url":null,"abstract":"Background: Natural disasters can result in various physical and psychological effects on victims. Kerala witnessed one of the worst floods in 2018. Objective: To explore the flood-related experiences, the role of the community in dealing with the disaster and strategies used for the management of floods in the selected districts of Kerala. Methodology: This qualitative study was done among flood-affected victims residing in three selected districts of Kerala from December 2018 to June 2019. The qualitative data were collected through 16 in-depth interviews and six focus group discussions using a topic guide till data saturation. A sociogram was plotted, and the thematic analysis of data with data triangulation was done to validate the findings. Results: The study identified natural, man-made and supernatural causes of floods. Most respondents described the event as the “Most unexpected disaster of the century.” Floods caused severe psychological trauma to the victims. The elderly and children were the most affected age groups, with behavioral changes noted among children. Fishermen came as “life saviors.” The majority of the victims were shifted to relief camps and were extremely happy with the facilities provided in the camp. The most difficult challenges faced were moving people at night during the flood event and post-flood cleaning. The support provided by government, nongovernmental organizations, and the local community was very much appreciated. Many were grateful for the initial response by the local youth community in their areas. Participants shared that they understood the true meaning of unity and realized the temporary nature of worldly possessions. Self-help group formation and prayer were identified as the most commonly used coping strategy. Conclusion: Addressing man-made causes of floods, empowering local communities, ensuring disaster preparedness, providing psychological support, and preserving the environment are the major strategies that emerged for the effective management of floods in future.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"18 - 23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42688028","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
Experience of the drug utilization pattern of nonsteroidal anti-inflammatory drugs used in outpatient attendees (Patients) having osteoarthritis of a tertiary care hospital in central India 非甾体类抗炎药在印度中部一家三级医院骨关节炎门诊患者(患者)用药模式的经验
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_317_22
R. Siddiqui, Shadma H. Quazi, Sharjeel H. Khan, Tanaji R. Shende
Objective: The prime goal of prescription utilization study aims to facilitate patients' rational drug use for osteoarthritis (OA). OA being the commonest form of joint disease and the foremost cause of pain in aged people. The aim of this research was to offer feedback on the use of medicines for OA treatment. Methods: A 1-year prospective observational research conducted in collaboration with the orthopaedics department. 280 patients were enrolled satisfying the exclusion and inclusion conditions using the convenience sampling technique. Patients' data were recorded in the case report form and analysed. Results: Among 280 patients enrolled in the study, OA seemed to be more common in females as 53.5% of patients were females as compared to 45% of male patients. The most impacted age grouping in the study was 46–60 (60.7%) followed by 61–75 (30.7%). Aceclofenac and paracetamol are the most commonly used nonsteroidal antiinflammatory drugs in 29.6% of patients followed by a combination of diclofenac + paracetamol in 18.5%, etoricoxib in 16.7% and paracetamol and tramadol in combination in 8.2% of patients. Conclusions: In our study, it was seen that OA affects females more often than males and the knee joint being the commonly affected joint. Aceclofenac and paracetamol combination was the most the most preferred drug. Drug use research's main goal is to encourage communities to take medications responsibly. Drug prescribing studies seek to inform prescribers about the proper use of medications and to give them feedback for rational use of drugs.
目的:促进骨关节炎(OA)患者合理用药是处方利用研究的首要目标。OA是最常见的关节疾病,也是老年人疼痛的主要原因。本研究的目的是为OA治疗药物的使用提供反馈。方法:与骨科合作进行的一项为期一年的前瞻性观察性研究。采用方便抽样技术对280名符合排除和纳入条件的患者进行了入组。患者的数据记录在病例报告表中并进行分析。结果:在280名参与研究的患者中,OA似乎在女性中更常见,53.5%的患者是女性,而男性患者的比例为45%。研究中受影响最大的年龄组是46–60岁(60.7%),其次是61–75岁(30.7%)。29.6%的患者最常用的非甾体抗炎药是阿西洛芬酸和扑热息痛,其次是18.5%的患者使用双氯芬酸+扑热息酚,16.7%的患者为依托ricoxib,8.2%的患者服用扑热息醇和曲马多。结论:在我们的研究中,OA对女性的影响比男性更大,膝关节是最常见的关节。Aceclofenac和扑热息痛的组合是最优选的药物。药物使用研究的主要目标是鼓励社区负责任地服药。药物处方研究旨在告知处方医生药物的正确使用,并为他们提供合理使用药物的反馈。
{"title":"Experience of the drug utilization pattern of nonsteroidal anti-inflammatory drugs used in outpatient attendees (Patients) having osteoarthritis of a tertiary care hospital in central India","authors":"R. Siddiqui, Shadma H. Quazi, Sharjeel H. Khan, Tanaji R. Shende","doi":"10.4103/jdmimsu.jdmimsu_317_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_317_22","url":null,"abstract":"Objective: The prime goal of prescription utilization study aims to facilitate patients' rational drug use for osteoarthritis (OA). OA being the commonest form of joint disease and the foremost cause of pain in aged people. The aim of this research was to offer feedback on the use of medicines for OA treatment. Methods: A 1-year prospective observational research conducted in collaboration with the orthopaedics department. 280 patients were enrolled satisfying the exclusion and inclusion conditions using the convenience sampling technique. Patients' data were recorded in the case report form and analysed. Results: Among 280 patients enrolled in the study, OA seemed to be more common in females as 53.5% of patients were females as compared to 45% of male patients. The most impacted age grouping in the study was 46–60 (60.7%) followed by 61–75 (30.7%). Aceclofenac and paracetamol are the most commonly used nonsteroidal antiinflammatory drugs in 29.6% of patients followed by a combination of diclofenac + paracetamol in 18.5%, etoricoxib in 16.7% and paracetamol and tramadol in combination in 8.2% of patients. Conclusions: In our study, it was seen that OA affects females more often than males and the knee joint being the commonly affected joint. Aceclofenac and paracetamol combination was the most the most preferred drug. Drug use research's main goal is to encourage communities to take medications responsibly. Drug prescribing studies seek to inform prescribers about the proper use of medications and to give them feedback for rational use of drugs.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"70 - 73"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42020993","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
Large soft-tissue mass in the extremity is not necessarily a sarcoma: A case report of a giant lipoma of the thigh 四肢较大的软组织肿块不一定是肉瘤:大腿巨大脂肪瘤1例报告
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_435_22
Emad Ansari, P. Tiwari, H. Kaur, Navneet Singh
Lipoma is the most common benign adipose tissue tumor. Giant lipomas are those that measure more than 10 cm in length or more than 1000 g in weight. There is a possibility of sarcomatous change in them but it is not always the rule. Lipoma and liposarcoma can be differentiated on the magnetic resonance imaging features of tumor size, stranding, nodularity, T2 signal, and contrast enhancement. The existence of thin septa helps identify lipomas and distinguishes them from well-differentiated liposarcomas, which have thick and irregular septa and fat necrosis at times. The open surgical approach is the best for the complete excision of giant lipomas without any recurrence.
脂肪瘤是最常见的良性脂肪组织肿瘤。巨大的脂肪瘤是指长度超过10厘米或重量超过1000克的脂肪瘤。它们有可能发生肉瘤性变化,但并不总是如此。脂肪瘤与脂肪肉瘤可通过肿瘤大小、搁浅、结节性、T2信号、对比增强等磁共振成像特征进行鉴别。薄间隔的存在有助于识别脂肪瘤,并将其与分化良好的脂肪肉瘤区分开来,后者有时有厚而不规则的间隔和脂肪坏死。开放手术是完全切除巨大脂肪瘤且无复发的最佳方法。
{"title":"Large soft-tissue mass in the extremity is not necessarily a sarcoma: A case report of a giant lipoma of the thigh","authors":"Emad Ansari, P. Tiwari, H. Kaur, Navneet Singh","doi":"10.4103/jdmimsu.jdmimsu_435_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_435_22","url":null,"abstract":"Lipoma is the most common benign adipose tissue tumor. Giant lipomas are those that measure more than 10 cm in length or more than 1000 g in weight. There is a possibility of sarcomatous change in them but it is not always the rule. Lipoma and liposarcoma can be differentiated on the magnetic resonance imaging features of tumor size, stranding, nodularity, T2 signal, and contrast enhancement. The existence of thin septa helps identify lipomas and distinguishes them from well-differentiated liposarcomas, which have thick and irregular septa and fat necrosis at times. The open surgical approach is the best for the complete excision of giant lipomas without any recurrence.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"97 - 99"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46990246","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
“Efficacy of education and exercise program to improve awareness regarding Post-COVID syndrome and quality of life among COVID-19-recovered individuals from Karad Taluka, Satara District:”A study protocol “教育和锻炼计划在提高萨塔拉地区卡拉德·塔卢卡covid -19康复者对covid -19后综合征和生活质量的认识方面的效果:”一项研究方案
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_412_22
S. Walvekar, V. Mohite
Context: The COVID-19-recovered individuals who have post-COVID syndrome/long COVID experience specific symptoms (fatigue, shortness of breath, and cognitive fog) after 6–12 weeks. In this study, we set out to raise post-COVID syndrome awareness and COVID-19-recovered people's quality of life through an education and exercise program. Aims: The aim is to improve awareness regarding Post Covid Syndrome and impact on their Quality of Life among Covid-19 recovered individuals. Settings and Design: This Longitudinal research study will be carried in a tertiary care hospital karad. Subjects and Methods: Three hundred and twenty Covid-19 recovered and discharged individuals will be the pariticipants of this longitudinal study using a consecutive sampling technique. Participants in the study will be assessed. In addition, an educational session discussing post-COVID syndrome will be provided, followed by an exercise program with specialized exercises (daily 30 min 4 days/week). After that, symptoms and quality of life will be evaluated again in the first and third months. Conclusions: This study will raise the awareness of post-COVID syndrome among patients.
背景:患有COVID后综合征/长期COVID的COVID-19受试者在6-12周后出现特定症状(疲劳、呼吸急促和认知模糊)。在这项研究中,我们着手通过教育和锻炼计划来提高新冠肺炎综合征后的意识和新冠肺炎患者的生活质量。目的:旨在提高新冠肺炎康复者对新冠肺炎后综合征及其对生活质量的影响的认识。设置和设计:这项纵向研究将在卡拉德的一家三级护理医院进行。受试者和方法:320名新冠肺炎康复和出院者将使用连续抽样技术参与这项纵向研究。将对研究参与者进行评估。此外,还将提供一个讨论新冠肺炎后综合征的教育课程,然后是一个有专门锻炼的锻炼计划(每天30分钟,每周4天)。之后,将在第一个月和第三个月再次评估症状和生活质量。结论:本研究将提高患者对新冠肺炎后综合征的认识。
{"title":"“Efficacy of education and exercise program to improve awareness regarding Post-COVID syndrome and quality of life among COVID-19-recovered individuals from Karad Taluka, Satara District:”A study protocol","authors":"S. Walvekar, V. Mohite","doi":"10.4103/jdmimsu.jdmimsu_412_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_412_22","url":null,"abstract":"Context: The COVID-19-recovered individuals who have post-COVID syndrome/long COVID experience specific symptoms (fatigue, shortness of breath, and cognitive fog) after 6–12 weeks. In this study, we set out to raise post-COVID syndrome awareness and COVID-19-recovered people's quality of life through an education and exercise program. Aims: The aim is to improve awareness regarding Post Covid Syndrome and impact on their Quality of Life among Covid-19 recovered individuals. Settings and Design: This Longitudinal research study will be carried in a tertiary care hospital karad. Subjects and Methods: Three hundred and twenty Covid-19 recovered and discharged individuals will be the pariticipants of this longitudinal study using a consecutive sampling technique. Participants in the study will be assessed. In addition, an educational session discussing post-COVID syndrome will be provided, followed by an exercise program with specialized exercises (daily 30 min 4 days/week). After that, symptoms and quality of life will be evaluated again in the first and third months. Conclusions: This study will raise the awareness of post-COVID syndrome among patients.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"84 - 86"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47550910","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
Impact of COVID-19 on medical teaching and students 新冠肺炎疫情对医学教学和学生的影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_329_21
Neetu Gupta, Kalpana Angadi
{"title":"Impact of COVID-19 on medical teaching and students","authors":"Neetu Gupta, Kalpana Angadi","doi":"10.4103/jdmimsu.jdmimsu_329_21","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_329_21","url":null,"abstract":"","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"178 - 179"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46963661","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
Visual preference appraisals of children for physician attire: A cross-sectional study 儿童对医生服装的视觉偏好评价:一项横断面研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_623_22
M. Shivanna, S. Bhandary, Kalim Ullah, Suguna Simhadri, N. Alunazi, Sriha Yalamanchi, J. Babu, C. Swarnalatha, A. Nayyar
Background: Psychologists highlight the importance of appearance and its effect on the first impression and subsequent, development of interpersonal relationship between the patient and the treating doctor. Adult responses to different attires of treating doctors have been well-documented, though there has been very little information regarding child patients on this aspect. The aim of the present study was to assess the preferences of child patients toward the dress code of their treating doctors and to relate the influence of age and previous exposure on such preferences. Materials and Methods: The present study was designed as a cross-sectional study wherein data were collected from 2500 child patients belonging to primary, secondary, and high school levels with the help of a questionnaire. A total of 10 photographs of 5 male and 5 female pediatric consultants of full size in the same background and stance of models in different dress codes were shown to the selected participants while they were asked to give their preferences in order. The results obtained were subjected to statistical analysis wherein statistical tests used included Chi-square and Fisher's exact tests and linear association. P < 0.05 was considered statistically significant. Results: The findings of the present study suggested that 35.6% of subjects preferred a white coat followed by scrubs with cartoons (21.8%) for male pediatric consultants while 38.2% of the subjects preferred a white coat followed by formal attire (28.4%) for female pediatric consultants. Furthermore, age had a significant impact on the preferences. Conclusions: White coat was the most preferred attire followed by scrubs with cartoons and formal attire.
背景:心理学家强调外表的重要性及其对患者和主治医生之间的第一印象和随后人际关系发展的影响。成年人对不同态度的治疗医生的反应已经有了充分的记录,尽管在这方面关于儿童患者的信息很少。本研究的目的是评估儿童患者对治疗医生着装规范的偏好,并将年龄和既往暴露对这种偏好的影响联系起来。材料和方法:本研究是一项横断面研究,通过问卷调查从2500名小学、中学和高中级别的儿童患者中收集数据。向选定的参与者展示了5名男性和5名女性儿科顾问的10张全尺寸照片,照片的背景和姿势与穿着不同服装的模特相同,同时要求他们按顺序给出自己的偏好。对获得的结果进行统计分析,其中使用的统计检验包括卡方检验和Fisher精确检验以及线性关联。P<0.05被认为具有统计学意义。结果:本研究结果表明,对于男性儿科顾问,35.6%的受试者更喜欢白色外套,然后是带有卡通图案的磨砂膏(21.8%),而对于女性儿科顾问,38.2%的受试人员更喜欢白色上衣,然后是正式服装(28.4%)。此外,年龄对偏好有显著影响。结论:白大褂是最受欢迎的服装,其次是带有卡通图案的磨砂布和正式服装。
{"title":"Visual preference appraisals of children for physician attire: A cross-sectional study","authors":"M. Shivanna, S. Bhandary, Kalim Ullah, Suguna Simhadri, N. Alunazi, Sriha Yalamanchi, J. Babu, C. Swarnalatha, A. Nayyar","doi":"10.4103/jdmimsu.jdmimsu_623_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_623_22","url":null,"abstract":"Background: Psychologists highlight the importance of appearance and its effect on the first impression and subsequent, development of interpersonal relationship between the patient and the treating doctor. Adult responses to different attires of treating doctors have been well-documented, though there has been very little information regarding child patients on this aspect. The aim of the present study was to assess the preferences of child patients toward the dress code of their treating doctors and to relate the influence of age and previous exposure on such preferences. Materials and Methods: The present study was designed as a cross-sectional study wherein data were collected from 2500 child patients belonging to primary, secondary, and high school levels with the help of a questionnaire. A total of 10 photographs of 5 male and 5 female pediatric consultants of full size in the same background and stance of models in different dress codes were shown to the selected participants while they were asked to give their preferences in order. The results obtained were subjected to statistical analysis wherein statistical tests used included Chi-square and Fisher's exact tests and linear association. P < 0.05 was considered statistically significant. Results: The findings of the present study suggested that 35.6% of subjects preferred a white coat followed by scrubs with cartoons (21.8%) for male pediatric consultants while 38.2% of the subjects preferred a white coat followed by formal attire (28.4%) for female pediatric consultants. Furthermore, age had a significant impact on the preferences. Conclusions: White coat was the most preferred attire followed by scrubs with cartoons and formal attire.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"74 - 78"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42890545","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
Social security measures among agricultural workers – A narrative review 农业工人的社会保障措施——叙述性综述
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_473_22
D. Yadav, S. Joshi, A. Mehendale
Agricultural workers suffer from various health problems which affect them at social, economic, mental, ecological, as well as all physical levels. In India, a vast proportion of agricultural workers are poor and hence they have a financial disadvantage. Catastrophic health expenditure without a mechanism of robust social security measures in place further deteriorates the socioeconomic position of such agricultural workers. Social security measures act as a support system at the time of health-related crisis and hence this article reviews existing social security measures for agricultural workers in India and related barriers to their utilization. The review suggests using awareness protocols that should reach the community, using their own language (for better compliance), and informing them about how to avail of these social security measures. They should be provided with family support to reduce their burden economically and to reduce their excessive stress level. This, in turn, will help to improve their socioeconomic status. The Indian agricultural workers lack general awareness about how social security works, and we lack good digital social equipment as well, which needs intervention and to apply on it. India has many social security schemes for agricultural workers but many of the target beneficiaries do not benefit from them or are excluded from these schemes because of procedural barriers. Hence, the utilization of social security schemes by agricultural workers remains poor. We need to further research into the measures that can be taken to increase this utilization so that agricultural workers can get benefit of the existing social security schemes.
农业工人患有各种健康问题,这些问题影响到他们的社会、经济、心理、生态以及所有身体层面。在印度,很大一部分农业工人是穷人,因此他们在经济上处于不利地位。如果没有健全的社会保障措施机制,灾难性的医疗支出将进一步恶化这些农业工人的社会经济地位。社会保障措施在健康危机时期起着支持系统的作用,因此本文回顾了印度现有的农业工人社会保障措施及其使用的相关障碍。审查建议使用应该到达社区的意识协议,使用他们自己的语言(为了更好地遵守),并告知他们如何利用这些社会保障措施。应该为他们提供家庭支持,以减轻他们的经济负担,减轻他们的过度压力。这反过来将有助于提高他们的社会经济地位。印度农业工人对社会保障的运作方式缺乏普遍的认识,我们也缺乏良好的数字社会设备,这需要干预和应用。印度有许多针对农业工人的社会保障计划,但许多目标受益人没有从中受益,或因程序障碍而被排除在这些计划之外。因此,农业工人对社会保障计划的利用率仍然很低。我们需要进一步研究可以采取哪些措施来提高这种利用率,以便农业工人能够从现有的社会保障计划中受益。
{"title":"Social security measures among agricultural workers – A narrative review","authors":"D. Yadav, S. Joshi, A. Mehendale","doi":"10.4103/jdmimsu.jdmimsu_473_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_473_22","url":null,"abstract":"Agricultural workers suffer from various health problems which affect them at social, economic, mental, ecological, as well as all physical levels. In India, a vast proportion of agricultural workers are poor and hence they have a financial disadvantage. Catastrophic health expenditure without a mechanism of robust social security measures in place further deteriorates the socioeconomic position of such agricultural workers. Social security measures act as a support system at the time of health-related crisis and hence this article reviews existing social security measures for agricultural workers in India and related barriers to their utilization. The review suggests using awareness protocols that should reach the community, using their own language (for better compliance), and informing them about how to avail of these social security measures. They should be provided with family support to reduce their burden economically and to reduce their excessive stress level. This, in turn, will help to improve their socioeconomic status. The Indian agricultural workers lack general awareness about how social security works, and we lack good digital social equipment as well, which needs intervention and to apply on it. India has many social security schemes for agricultural workers but many of the target beneficiaries do not benefit from them or are excluded from these schemes because of procedural barriers. Hence, the utilization of social security schemes by agricultural workers remains poor. We need to further research into the measures that can be taken to increase this utilization so that agricultural workers can get benefit of the existing social security schemes.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"135 - 140"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41707770","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
Risk factors associated with intrauterine growth restriction: A scoping review 与宫内生长受限相关的危险因素:范围综述
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_581_22
Priyanka Dapkekar, A. Kawthalkar, Anuja Bhalerao, S. Somalwar
Background: Intrauterine growth restriction (IUGR) is said to be present in those babies whose birth weight is below the 10th percentile of the average for gestational age. Those fetuses are prone to perinatal morbidity and mortality. IUGR remains prevalent in developing countries even after advancements in obstetric care. Aim: The current scoping analysis is conducted to review observational studies reporting on various sociodemographic, medical and obstetrics, and placental risk factors associated with IUGR. Methods: We performed a systematic meta-analysis of relevant studies obtained by electronic databases PubMed and Google Scholar from 2010 to 2022. Relevant research articles were searched forward and backward. Citation searches were also undertaken and all relevant literature were included. Of the 68 studies reviewed, 10 studies were included. Results: Pooled results after investigating 10 articles show that younger maternal age, low-socioeconomic status, primiparity, hypertensive disorders in pregnancy, and anemia are significantly associated with the risk of developing IUGR. Conclusion: By studying the risk factors, we will be able to identify the high-risk group. Focus on early detection and high-quality antenatal care will help to overcome the problem of IUGR in the community.
背景:据说出生体重低于胎龄平均值第10百分位的婴儿存在宫内生长受限(IUGR)。这些胎儿容易发生围产期发病和死亡。即使在产科护理取得进步之后,宫内节育器仍在发展中国家普遍存在。目的:目前的范围界定分析旨在回顾与宫内节育器相关的各种社会人口学、医学和产科以及胎盘风险因素的观察性研究。方法:我们对2010年至2022年通过电子数据库PubMed和Google Scholar获得的相关研究进行了系统的荟萃分析。对相关研究文献进行了前后检索。还进行了引文检索,包括所有相关文献。在审查的68项研究中,包括10项研究。结果:调查10篇文章后的汇总结果显示,母亲年龄较小、社会经济地位较低、初产、妊娠期高血压疾病和贫血与发展为宫内节育器的风险显著相关。结论:通过对危险因素的研究,我们将能够确定高危人群。注重早期发现和高质量的产前护理将有助于克服社区中的宫内节育器问题。
{"title":"Risk factors associated with intrauterine growth restriction: A scoping review","authors":"Priyanka Dapkekar, A. Kawthalkar, Anuja Bhalerao, S. Somalwar","doi":"10.4103/jdmimsu.jdmimsu_581_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_581_22","url":null,"abstract":"Background: Intrauterine growth restriction (IUGR) is said to be present in those babies whose birth weight is below the 10th percentile of the average for gestational age. Those fetuses are prone to perinatal morbidity and mortality. IUGR remains prevalent in developing countries even after advancements in obstetric care. Aim: The current scoping analysis is conducted to review observational studies reporting on various sociodemographic, medical and obstetrics, and placental risk factors associated with IUGR. Methods: We performed a systematic meta-analysis of relevant studies obtained by electronic databases PubMed and Google Scholar from 2010 to 2022. Relevant research articles were searched forward and backward. Citation searches were also undertaken and all relevant literature were included. Of the 68 studies reviewed, 10 studies were included. Results: Pooled results after investigating 10 articles show that younger maternal age, low-socioeconomic status, primiparity, hypertensive disorders in pregnancy, and anemia are significantly associated with the risk of developing IUGR. Conclusion: By studying the risk factors, we will be able to identify the high-risk group. Focus on early detection and high-quality antenatal care will help to overcome the problem of IUGR in the community.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"130 - 134"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48976881","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
Identifying the Association of Prediabetes and Cardiovascular Diseases with Metabolic Syndrome Patients in India 确定印度糖尿病前期和心血管疾病与代谢综合征患者的关系
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_118_22
Ivon Lewis, Shimpa R. Sharma, Prashanthkumar Goudappala, A. Joshi
Background: Increased urbanization decreases physical activity which promotes many life-threatening diseases among people in developing countries like India. Metabolic syndrome increases the health burden and mortality rate among middle-aged people. Early diagnosis of the risk factor associated with this pathological disorder can be a help to overcome this life-threatening pathological disorder by delaying disease progression. Materials and Methods: A total of 400 patients with metabolic syndrome are identified. Patient blood samples were collected and processed. Biochemical parameters include fasting blood sugar and lipid profiles which include TC, HDL, LDL very-LDL (VLDL), and triglycerides were analyzed using an autoanalyzer. Altered fasting blood sugar level and lipid profile are used to diagnose the status of diabetes and cardiovascular disorder. Results: The fasting blood sugar levels of the patients were in the range of prediabetic condition and so the patients are more prevalent to diabetes mellitus. An altered lipid profile ratio with a decreased level of good cholesterol and increased level of bad cholesterol was also observed in association with prediabetic condition. Conclusion: The altered levels of these biochemical parameters in metabolic syndrome patients gives the idea about its association of prediabetes with cardiovascular disorders among the Indian population.
背景:在印度等发展中国家,城市化程度的提高减少了人们的身体活动,从而导致人们患上许多危及生命的疾病。代谢综合征增加了中年人的健康负担和死亡率。早期诊断与这种病理障碍相关的危险因素可以通过延缓疾病进展来帮助克服这种危及生命的病理障碍。材料与方法:共筛选400例代谢综合征患者。采集并处理患者血液样本。生化参数包括空腹血糖和脂质谱,包括TC、HDL、LDL -极低密度脂蛋白(VLDL)和甘油三酯,使用自动分析仪进行分析。改变空腹血糖水平和血脂被用来诊断糖尿病和心血管疾病的状态。结果:本组患者空腹血糖处于糖尿病前期水平,糖尿病发病率较高。血脂比例的改变与好胆固醇水平的降低和坏胆固醇水平的增加也被观察到与糖尿病前期状况有关。结论:代谢综合征患者中这些生化参数水平的改变说明了印度人群中前驱糖尿病与心血管疾病之间的关系。
{"title":"Identifying the Association of Prediabetes and Cardiovascular Diseases with Metabolic Syndrome Patients in India","authors":"Ivon Lewis, Shimpa R. Sharma, Prashanthkumar Goudappala, A. Joshi","doi":"10.4103/jdmimsu.jdmimsu_118_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_118_22","url":null,"abstract":"Background: Increased urbanization decreases physical activity which promotes many life-threatening diseases among people in developing countries like India. Metabolic syndrome increases the health burden and mortality rate among middle-aged people. Early diagnosis of the risk factor associated with this pathological disorder can be a help to overcome this life-threatening pathological disorder by delaying disease progression. Materials and Methods: A total of 400 patients with metabolic syndrome are identified. Patient blood samples were collected and processed. Biochemical parameters include fasting blood sugar and lipid profiles which include TC, HDL, LDL very-LDL (VLDL), and triglycerides were analyzed using an autoanalyzer. Altered fasting blood sugar level and lipid profile are used to diagnose the status of diabetes and cardiovascular disorder. Results: The fasting blood sugar levels of the patients were in the range of prediabetic condition and so the patients are more prevalent to diabetes mellitus. An altered lipid profile ratio with a decreased level of good cholesterol and increased level of bad cholesterol was also observed in association with prediabetic condition. Conclusion: The altered levels of these biochemical parameters in metabolic syndrome patients gives the idea about its association of prediabetes with cardiovascular disorders among the Indian population.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"30 - 33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46256044","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
Study of Post-COVID complications in various system using serum investigations 利用血清调查研究各系统covid - 19后并发症
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jdmimsu.jdmimsu_457_22
Rushikesh Shukla, S. Acharya
COVID-19, a word feared by the most brilliant and skilled practitioners in the world, Carries more havoc with it than we imagine. The major effects of the COVID-19 infection were on the respiratory and circulatory systems, which lasted for a long period after treatment with COVID-19. Important biomarkers of respiratory system showed elevated levels even after completion of medication for COVID-19. Hematological and inflammatory biomarkers such as D-dimer, serum ferritin, C-reactive protein (CRP), serum lactate dehydrogenase (LDH), and levels of interleukin-6 (IL-6) were thoroughly assessed. The SARS-CoV-2 antibodies were also compared. Although few serum markers like D-dimer has seen to show more associated severe complications than other unreliable markers like CRP. CRP just being the biomarker for inflammation does not grossly describe the forecast of the destruction caused by the virus. However, markers like LDH have shown to be great for describing the progressive damage of the virus leading to acute respiratory distress syndrome (ARDS). The serum levels of D-dimer showed elevation till 3 months' post infection. A few hematological markers like serum ferritin proved to be vital for prognosis of the infection Prognosis of fatal diseases like covid-19 to Hematological markers like Serum ferritin proved their prognostic value. The company of IL-6 in the peripheral blood might be used as a prognosticator of COVID-19 development. In patients who needed intensive care unit care, prothrombin time values were higher. Male patients had higher levels of soluble IL-2R, IL-6, ferritin, procalcitonin, LDH, and hsCRP in their blood than female patients. The sperm samples did not show the presence of coronavirus proving it had just minimal effect on reproductive health and that no damage was seen on the performance as well.
COVID-19是世界上最聪明、最熟练的实践者所害怕的一个词,它带来的破坏比我们想象的要大。COVID-19感染的主要影响是对呼吸和循环系统的影响,这种影响在COVID-19治疗后持续很长时间。即使在完成新冠肺炎药物治疗后,呼吸系统的重要生物标志物也出现了升高。全面评估血液学和炎症生物标志物,如d -二聚体、血清铁蛋白、c反应蛋白(CRP)、血清乳酸脱氢酶(LDH)和白细胞介素-6 (IL-6)水平。还比较了SARS-CoV-2抗体。尽管很少有血清标志物如d -二聚体比其他不可靠的标志物如CRP表现出更多的相关严重并发症。CRP仅仅是炎症的生物标志物并不能粗略地描述病毒造成的破坏的预测。然而,LDH等标记物已被证明在描述导致急性呼吸窘迫综合征(ARDS)的病毒进行性损害方面很有帮助。感染后3个月血清d -二聚体水平升高。少数血液学指标如血清铁蛋白对感染的预后有重要影响,如covid-19等致命疾病的预后对血清铁蛋白等血液学指标有重要的预测价值。外周血IL-6水平可作为COVID-19发展的预测指标。在需要重症监护病房护理的患者中,凝血酶原时间值更高。男性患者血液中可溶性IL-2R、IL-6、铁蛋白、降钙素原、LDH和hsCRP水平高于女性患者。精子样本没有显示出冠状病毒的存在,这证明它对生殖健康的影响很小,对表现也没有损害。
{"title":"Study of Post-COVID complications in various system using serum investigations","authors":"Rushikesh Shukla, S. Acharya","doi":"10.4103/jdmimsu.jdmimsu_457_22","DOIUrl":"https://doi.org/10.4103/jdmimsu.jdmimsu_457_22","url":null,"abstract":"COVID-19, a word feared by the most brilliant and skilled practitioners in the world, Carries more havoc with it than we imagine. The major effects of the COVID-19 infection were on the respiratory and circulatory systems, which lasted for a long period after treatment with COVID-19. Important biomarkers of respiratory system showed elevated levels even after completion of medication for COVID-19. Hematological and inflammatory biomarkers such as D-dimer, serum ferritin, C-reactive protein (CRP), serum lactate dehydrogenase (LDH), and levels of interleukin-6 (IL-6) were thoroughly assessed. The SARS-CoV-2 antibodies were also compared. Although few serum markers like D-dimer has seen to show more associated severe complications than other unreliable markers like CRP. CRP just being the biomarker for inflammation does not grossly describe the forecast of the destruction caused by the virus. However, markers like LDH have shown to be great for describing the progressive damage of the virus leading to acute respiratory distress syndrome (ARDS). The serum levels of D-dimer showed elevation till 3 months' post infection. A few hematological markers like serum ferritin proved to be vital for prognosis of the infection Prognosis of fatal diseases like covid-19 to Hematological markers like Serum ferritin proved their prognostic value. The company of IL-6 in the peripheral blood might be used as a prognosticator of COVID-19 development. In patients who needed intensive care unit care, prothrombin time values were higher. Male patients had higher levels of soluble IL-2R, IL-6, ferritin, procalcitonin, LDH, and hsCRP in their blood than female patients. The sperm samples did not show the presence of coronavirus proving it had just minimal effect on reproductive health and that no damage was seen on the performance as well.","PeriodicalId":15592,"journal":{"name":"Journal of Datta Meghe Institute of Medical Sciences University","volume":"18 1","pages":"141 - 145"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43286002","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
期刊
Journal of Datta Meghe Institute of Medical Sciences University
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1