Background: Trichobezoar is an uncommon clinical entity in which ingested hair mass accumulates within the digestive tract. Trichobezoars are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). This entity is usually associated with trichotillomania and trichophagia or other psychiatric disorders. It is generally observed in children and young females with psychological disorders. Untreated cases may lead to grave complications. We present our experience with five patients and provide a review of the recent literature. Material and Methods: We retrospectively analysed the clinical data of five patients treated for trichobezoar in pediatric surgery department during 4-year-period between 2018 and 2022. Their medical charts were reviewed with respect to symptoms, diagnostic procedures including any Imaging (abdominal ultrasonography and abdominal computed tomography) or upper GI endoscopy and treatment.
{"title":"4 years institutional experience in the management of Trichobezoar: About 5 Cases","authors":"Nitin Jain","doi":"10.18535/jmscr/v11i8.04","DOIUrl":"https://doi.org/10.18535/jmscr/v11i8.04","url":null,"abstract":"Background: Trichobezoar is an uncommon clinical entity in which ingested hair mass accumulates within the digestive tract. Trichobezoars are usually located in the stomach, but may extend through the pylorus into the duodenum and small bowel (Rapunzel syndrome). This entity is usually associated with trichotillomania and trichophagia or other psychiatric disorders. It is generally observed in children and young females with psychological disorders. Untreated cases may lead to grave complications. We present our experience with five patients and provide a review of the recent literature. Material and Methods: We retrospectively analysed the clinical data of five patients treated for trichobezoar in pediatric surgery department during 4-year-period between 2018 and 2022. Their medical charts were reviewed with respect to symptoms, diagnostic procedures including any Imaging (abdominal ultrasonography and abdominal computed tomography) or upper GI endoscopy and treatment.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348237","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}
Strain based imaging techniques, particularly speckle tracking echocardiography (STE) have been shown to have clinical utility in a variety of clinical settings. Currently, STE is being embraced and increasingly adopted in numerous echocardiographic laboratories worldwide. In context with contemporary non invasive cardiovascular procedures, 2Dimensional STE is most sought-after method to evaluate LV strain, rotation, twist and torsion. Two dimensional (2D), three dimensional (3D) and 4Dimensional (4D) deformation assessment by STE is inherently associated with certain limitations. For better appraisal of LV contractile properties recently introduced updated version of 4D XStrain STE has been employed to analyse the various complex multidimensional LV mechanics. This novel technology is a reliable, affordable and a simple tool for estimation of regional and global myocardial function. Furthermore, 4D XStrain STE can accurately quantify the 4D LV ejection-fraction, end-diastolic and end-systolic volumes and sphericity index (SI). However, this distinctive technology has not been widely adopted and its assessment is still limited to research applications. Hence we aimed to familiarize this innovative technology by comprehensively addressing its technique, advantages and limitations, with the intent that it may serve a more meaningful purpose in the current volatile scenario of cardio-vascular disease. Keywords: 4Dimensional XStrain Echocardiography, LV strain, LV rotation, LVtwist, LV untwist, LV torsion.
{"title":"Left Ventricular Myocardial Deformation Assessment by 4Dimensional XStrain Speckle Tracking Echocardiography: An Innovative Technology","authors":"Akhil Mehrotra","doi":"10.18535/jmscr/v11i8.09","DOIUrl":"https://doi.org/10.18535/jmscr/v11i8.09","url":null,"abstract":"Strain based imaging techniques, particularly speckle tracking echocardiography (STE) have been shown to have clinical utility in a variety of clinical settings. Currently, STE is being embraced and increasingly adopted in numerous echocardiographic laboratories worldwide. In context with contemporary non invasive cardiovascular procedures, 2Dimensional STE is most sought-after method to evaluate LV strain, rotation, twist and torsion. Two dimensional (2D), three dimensional (3D) and 4Dimensional (4D) deformation assessment by STE is inherently associated with certain limitations. For better appraisal of LV contractile properties recently introduced updated version of 4D XStrain STE has been employed to analyse the various complex multidimensional LV mechanics. This novel technology is a reliable, affordable and a simple tool for estimation of regional and global myocardial function. Furthermore, 4D XStrain STE can accurately quantify the 4D LV ejection-fraction, end-diastolic and end-systolic volumes and sphericity index (SI). However, this distinctive technology has not been widely adopted and its assessment is still limited to research applications. Hence we aimed to familiarize this innovative technology by comprehensively addressing its technique, advantages and limitations, with the intent that it may serve a more meaningful purpose in the current volatile scenario of cardio-vascular disease. Keywords: 4Dimensional XStrain Echocardiography, LV strain, LV rotation, LVtwist, LV untwist, LV torsion.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348334","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}
Recent hospital and cancer registry data shows increasing prostate cancer incidence in Nigeria, which was previously regarded as a low incidence region. Prostate cancer is the leading cause of cancer death among men in Nigeria and second most common cancers of men worldwide and sexual history has been a consistent risk factor. Prostate specific antigen (PSA) test is still the single most important test for early detection of prostate cancer worldwide. However, not much is reported about prostate cancer in relation to urinary tract infections in Africa. This study investigates the prevalence of prostate cancer risk in and bacterial urinary tract infections among men in Abuja, Nigeria. One Hundred (100) samples each of blood and urine were collected, from fifty (50) male patients suffering from urinary tract infections and fifty (50) apparently healthy males attending Kuje General Hospital Abuja, Nigeria. All the blood samples were subjected to PSA analysis using Enzyme-linked Immunosorbent Assay procedure (Diagnostic Automation/ Cortez Diagnostics, Inc, USA) while urine analysis (microscopy, culture and biochemical identification) was performed on the urine to isolate and identify the common bacteria associated with urinary tract infections among the study population.
{"title":"Determination of Prostate Specific Antigen Level among Male Patients with Bacterial Urinary Tract Infections Attending Kuje General Hospital Abuja, Nigeria","authors":"Ajang, A. Y., Ogaji","doi":"10.18535/jmscr/v11i7.03","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.03","url":null,"abstract":"Recent hospital and cancer registry data shows increasing prostate cancer incidence in Nigeria, which was previously regarded as a low incidence region. Prostate cancer is the leading cause of cancer death among men in Nigeria and second most common cancers of men worldwide and sexual history has been a consistent risk factor. Prostate specific antigen (PSA) test is still the single most important test for early detection of prostate cancer worldwide. However, not much is reported about prostate cancer in relation to urinary tract infections in Africa. This study investigates the prevalence of prostate cancer risk in and bacterial urinary tract infections among men in Abuja, Nigeria. One Hundred (100) samples each of blood and urine were collected, from fifty (50) male patients suffering from urinary tract infections and fifty (50) apparently healthy males attending Kuje General Hospital Abuja, Nigeria. All the blood samples were subjected to PSA analysis using Enzyme-linked Immunosorbent Assay procedure (Diagnostic Automation/ Cortez Diagnostics, Inc, USA) while urine analysis (microscopy, culture and biochemical identification) was performed on the urine to isolate and identify the common bacteria associated with urinary tract infections among the study population.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353793","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}
Objective: To compare vaginal length preservation between vertical and horizontal vault closure technique after vaginal hystrectomy. Methods: Randomized prospective Study was conducted at two private hospitals in Kashmir valley. 46 women who attended gynecology clinic between Jan 2016 to Jan 2021 with POPQ grade 1 prolapse were randomized into two groups according to vaginal vault closure technique (horizontal 23 vs vertical 23). Results: Vaginal length measured pre-operatively between horizontal and vertical group was similar with mean ±SD (7.6±0.82) and 7.79±0.80). Immediate postoperative vaginal length was significantly short in horizontal group as compared to vertical closure group with mean±SD (6.4±0.88) and 7.31±0.72). Mean difference in vaginal length between two groups before and after surgery was 1.2(0.12) centimeters (horizontal) and 0.4(0.11) centimeters vertical group. P<.001 Conclusion: vertical vaginal vault closure preserves vaginal length as compared to horizontal vault closure. Keywords: vault closure, vaginal hystrectomy, vaginal length, vertical, horizontal.
{"title":"Preservation of Vaginal Length by Vertical vs Horizontal Vault Closure Technique after Vaginal Hystrectomy","authors":"S. Jeelani","doi":"10.18535/jmscr/v11i7.02","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.02","url":null,"abstract":"Objective: To compare vaginal length preservation between vertical and horizontal vault closure technique after vaginal hystrectomy. Methods: Randomized prospective Study was conducted at two private hospitals in Kashmir valley. 46 women who attended gynecology clinic between Jan 2016 to Jan 2021 with POPQ grade 1 prolapse were randomized into two groups according to vaginal vault closure technique (horizontal 23 vs vertical 23). Results: Vaginal length measured pre-operatively between horizontal and vertical group was similar with mean ±SD (7.6±0.82) and 7.79±0.80). Immediate postoperative vaginal length was significantly short in horizontal group as compared to vertical closure group with mean±SD (6.4±0.88) and 7.31±0.72). Mean difference in vaginal length between two groups before and after surgery was 1.2(0.12) centimeters (horizontal) and 0.4(0.11) centimeters vertical group. P<.001 Conclusion: vertical vaginal vault closure preserves vaginal length as compared to horizontal vault closure. Keywords: vault closure, vaginal hystrectomy, vaginal length, vertical, horizontal.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"2021 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353724","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}
Background: Breast cancer is now the most common cancer worldwide (GLOBOCAN, 2020). It is the most common cancer among women in developed countries. The age standardized incidence rate of breast cancer in India is 25.8% per 100,000 women (GLOBOCAN, 2020). By 2020, breast cancer overtook cervical cancer as the most common type of cancer among all women in India. Breast irradiation has been shown to reduce the risk of local recurrence after breast-conserving surgery from about 30% to <10% at 10 years. Aims & Objectives: Randomize Breast carcinoma into two arms - Arm A :- 39GY in 13 fractions over 2.3 weeks & Arm B:- 50 GY in 25 fractions over 5weeks. Compare locoregional response in two arms 4 weeks after completion of radiation therapy and at the end of six months of follow up. Compare acute and chronic toxicities in the two arms.
{"title":"Prospective Study to Compare Outcomes Following Hypofractionated Radiotherapy versus Conventional Radiotherapy in Carcinoma Breast","authors":"Dr Vivek Kumar Pandey","doi":"10.18535/jmscr/v11i7.04","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.04","url":null,"abstract":"Background: Breast cancer is now the most common cancer worldwide (GLOBOCAN, 2020). It is the most common cancer among women in developed countries. The age standardized incidence rate of breast cancer in India is 25.8% per 100,000 women (GLOBOCAN, 2020). By 2020, breast cancer overtook cervical cancer as the most common type of cancer among all women in India. Breast irradiation has been shown to reduce the risk of local recurrence after breast-conserving surgery from about 30% to <10% at 10 years. Aims & Objectives: Randomize Breast carcinoma into two arms - Arm A :- 39GY in 13 fractions over 2.3 weeks & Arm B:- 50 GY in 25 fractions over 5weeks. Compare locoregional response in two arms 4 weeks after completion of radiation therapy and at the end of six months of follow up. Compare acute and chronic toxicities in the two arms.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353824","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}
Background: Mean corpuscular volume (MCV) increases by more than 100 fl. in macrocytosis, a condition in which erythrocytes are larger than normal. The purpose of this study was to evaluate the haematological characteristics in various aetiologies and to determine the underlying reasons of macrocytosis, which was found in regular hemograms. In addition to doing full blood counts, renal function tests, liver function tests, vitamin B12 assays, folate assays, and peripheral smear evaluations and few case were bone marrow examination. Material and Methods: In this prospective observational study conducted over a period of one-year, medical records of 250 subjects were evaluated. Data was compiled of Megaloblastic, Non-megaloblastic Macrocytosis levels, along with clinical diagnosis and other biochemical parameters. Based on clinical evaluation and hematological and biochemeical evidence, patients were diagnosed as positive cases of Megaloblastic(166), Non-Megaloblastic (133).Among this two variable group Mean ±SD were also calculated .
{"title":"To Study Hematological Features in Various Etiologies of Macrocytic Anemias","authors":"Mamatha G","doi":"10.18535/jmscr/v11i7.05","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.05","url":null,"abstract":"Background: Mean corpuscular volume (MCV) increases by more than 100 fl. in macrocytosis, a condition in which erythrocytes are larger than normal. The purpose of this study was to evaluate the haematological characteristics in various aetiologies and to determine the underlying reasons of macrocytosis, which was found in regular hemograms. In addition to doing full blood counts, renal function tests, liver function tests, vitamin B12 assays, folate assays, and peripheral smear evaluations and few case were bone marrow examination. Material and Methods: In this prospective observational study conducted over a period of one-year, medical records of 250 subjects were evaluated. Data was compiled of Megaloblastic, Non-megaloblastic Macrocytosis levels, along with clinical diagnosis and other biochemical parameters. Based on clinical evaluation and hematological and biochemeical evidence, patients were diagnosed as positive cases of Megaloblastic(166), Non-Megaloblastic (133).Among this two variable group Mean ±SD were also calculated .","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353925","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}
Double outlet right ventricle (DORV) is a heterogeneous group of abnormal ventriculoarterial connections where, by definition, both great arteries (pulmonary artery and aorta) arise primarily from the morphologically right ventricle, This condition affects 1-1.5% of the patients with congenital heart diseases, with a frequency of 1 in each 10,000 live births. We are reporting a case of seven year old deeply cyanotic child with DORV, subaortic VSD with rare anatomic features of antero-posterior malposition of great arteries (GA) and pulmonary vavular atresia, with conspicuous absence of patent ductusarteriosus (PDA) or major aorto-pulmonary collaterals (MAPCAs), despite the presence of atretic pulmonary valve. Keywords: DORV, Pulmonary atresia, TGA, VSD, subaortic VSD, overriding of Aorta, cyanotic congenital heart defects.
{"title":"Double Outlet Right Ventricle with Pulmonary Atresia and Antero-Posterior Malposition of Great Arteries: Transthoracic Echocardiographic Evaluation of a rare cyanotic congenital heart disorder","authors":"Akhil Mehrotra","doi":"10.18535/jmscr/v11i7.08","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.08","url":null,"abstract":"Double outlet right ventricle (DORV) is a heterogeneous group of abnormal ventriculoarterial connections where, by definition, both great arteries (pulmonary artery and aorta) arise primarily from the morphologically right ventricle, This condition affects 1-1.5% of the patients with congenital heart diseases, with a frequency of 1 in each 10,000 live births. We are reporting a case of seven year old deeply cyanotic child with DORV, subaortic VSD with rare anatomic features of antero-posterior malposition of great arteries (GA) and pulmonary vavular atresia, with conspicuous absence of patent ductusarteriosus (PDA) or major aorto-pulmonary collaterals (MAPCAs), despite the presence of atretic pulmonary valve. Keywords: DORV, Pulmonary atresia, TGA, VSD, subaortic VSD, overriding of Aorta, cyanotic congenital heart defects.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353795","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}
COVID 19 is a communicable disease which has spread all over the world due to human-to-human transmission. The initial symptoms are non specific, and it presents with fever and cough, which can then resolve spontaneously or progress to acute respiratory distress syndrome (ARDS), multiple organ failure, and death. This is a retrospective study conducted in a tertiary care center in Delhi to find out association of factors like age, gender and various co morbidities on COVID-19 mortality. Male patients with older age and having co morbidities were found to have higher mortality and results were statistically significant.
{"title":"Retrospective study of Mortality analysis in different Waves during COVID-19 in tertiary care centre of Delhi","authors":"Dr Ankush Bansal","doi":"10.18535/jmscr/v11i7.06","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.06","url":null,"abstract":"COVID 19 is a communicable disease which has spread all over the world due to human-to-human transmission. The initial symptoms are non specific, and it presents with fever and cough, which can then resolve spontaneously or progress to acute respiratory distress syndrome (ARDS), multiple organ failure, and death. This is a retrospective study conducted in a tertiary care center in Delhi to find out association of factors like age, gender and various co morbidities on COVID-19 mortality. Male patients with older age and having co morbidities were found to have higher mortality and results were statistically significant.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353905","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}
Background: Menopause is marked by decreased female sex hormones and many of the symptoms experienced during this phase may be related to changes in serum levels of certain trace minerals especially calcium and magnesium. Aim: The main purpose of the study was to measure serum calcium and magnesium in postmenopausal women and to compare with that in pre-menopausal women. Methods: Serum calcium and magnesium were estimated in 30 postmenopausal women and 30 premenopausal women, who were selected following inclusion and exclusion criteria. Statistical analysis was done by using Graph pad Quickcalcs calculator. Student's unpaired t test was done to compare between both groups and p-value was determined to know the statistical significance. Results: Postmenopausal women were found to have lower serum calcium (8.659±0.91) and serum magnesium (1.63±0.16) when compared to premenopausal women who had serum calcium of (9.604 ± 0.70) and serum magnesium (2.48±0.55). The lowered calcium and magnesium levels were found to be extremely statistically significant with a p-value of <0.0001. Conclusion: Serum calcium and magnesium were decreased in post-menopausal women when compared to pre-menopausal women, which needs to be corrected to avoid certain postmenopausal symptoms and other serious health problems. This may improve cardiovascular and bone health in post menopausal women.
背景：绝经的特点是女性性激素减少，在这一阶段出现的许多症状可能与血清中某些微量元素（尤其是钙和镁）水平的变化有关。目的：本研究的主要目的是测量绝经后妇女的血清钙和镁含量，并与绝经前妇女的血清钙和镁含量进行比较。方法：测量绝经后妇女的血清钙和镁：按照纳入和排除标准，对 30 名绝经后妇女和 30 名绝经前妇女的血清钙和镁进行了估计。使用 Graph pad Quickcalcs 计算器进行统计分析。采用学生非配对 t 检验对两组进行比较，并确定 p 值以了解统计意义。结果与绝经前妇女的血清钙（9.604 ± 0.70）和血清镁（2.48±0.55）相比，绝经后妇女的血清钙（8.659±0.91）和血清镁（1.63±0.16）更低。研究发现，钙和镁水平的降低具有极其显著的统计学意义，P 值小于 0.0001。结论与绝经前相比，绝经后妇女的血清钙和镁含量有所下降，这需要加以纠正，以避免出现某些绝经后症状和其他严重的健康问题。这可能会改善绝经后妇女的心血管和骨骼健康。
{"title":"A Comparative Study of Serum Calcium and Magnesium in Post-Menopausal and Pre- Menopausal Women","authors":"Dr Lanke Vani","doi":"10.18535/jmscr/v11i7.09","DOIUrl":"https://doi.org/10.18535/jmscr/v11i7.09","url":null,"abstract":"Background: Menopause is marked by decreased female sex hormones and many of the symptoms experienced during this phase may be related to changes in serum levels of certain trace minerals especially calcium and magnesium. Aim: The main purpose of the study was to measure serum calcium and magnesium in postmenopausal women and to compare with that in pre-menopausal women. Methods: Serum calcium and magnesium were estimated in 30 postmenopausal women and 30 premenopausal women, who were selected following inclusion and exclusion criteria. Statistical analysis was done by using Graph pad Quickcalcs calculator. Student's unpaired t test was done to compare between both groups and p-value was determined to know the statistical significance. Results: Postmenopausal women were found to have lower serum calcium (8.659±0.91) and serum magnesium (1.63±0.16) when compared to premenopausal women who had serum calcium of (9.604 ± 0.70) and serum magnesium (2.48±0.55). The lowered calcium and magnesium levels were found to be extremely statistically significant with a p-value of <0.0001. Conclusion: Serum calcium and magnesium were decreased in post-menopausal women when compared to pre-menopausal women, which needs to be corrected to avoid certain postmenopausal symptoms and other serious health problems. This may improve cardiovascular and bone health in post menopausal women.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139353750","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}
Introduction: Globalization is a fact of life. In addition to having an impact on the economic, social, political, technological, environmental, and cultural spheres of human life, globalization also affects the health care and educational systems. Health-related educational institutions, particularly nursing programs, must be able to turn out graduates who can compete in the modern world. Methods: Studies are systematically found utilizing electronic databases that have been Scopus indexed, such as ProQuest, Science Direct, CINALH, and PubMed. The Medical Subject Heading (MeSH) search terms for the papers in this investigation are globalization AND global health AND nursing. Four articles that fulfill the requirements were left after articles were found using an electronic database search and then chosen based on the inclusion and exclusion criteria. Results: This review study discovered that in order for nursing students to successfully navigate the issues of globalization and global health, they must increase their global health nursing competences. Conclusions: The best available data is compiled in this study to help universities and other interested parties create and assess global health nursing competency-strengthening programs for nursing students. Keywords: globalization; global health; nursing
{"title":"Building Nurse Competence to Address Global Health and Global Era Challenges","authors":"Widjijati Herry Prasetyo","doi":"10.18535/jmscr/v11i6.18","DOIUrl":"https://doi.org/10.18535/jmscr/v11i6.18","url":null,"abstract":"Introduction: Globalization is a fact of life. In addition to having an impact on the economic, social, political, technological, environmental, and cultural spheres of human life, globalization also affects the health care and educational systems. Health-related educational institutions, particularly nursing programs, must be able to turn out graduates who can compete in the modern world. Methods: Studies are systematically found utilizing electronic databases that have been Scopus indexed, such as ProQuest, Science Direct, CINALH, and PubMed. The Medical Subject Heading (MeSH) search terms for the papers in this investigation are globalization AND global health AND nursing. Four articles that fulfill the requirements were left after articles were found using an electronic database search and then chosen based on the inclusion and exclusion criteria. Results: This review study discovered that in order for nursing students to successfully navigate the issues of globalization and global health, they must increase their global health nursing competences. Conclusions: The best available data is compiled in this study to help universities and other interested parties create and assess global health nursing competency-strengthening programs for nursing students. Keywords: globalization; global health; nursing","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"316 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366825","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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