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A Case of Acute Aluminium Phosphide Poisoning With ST Segment Elevation ECG Changes 一例急性磷化铝中毒伴心电图 ST 段抬高的病例
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.14
Manish Chaudhary
AlP poisoning has elevated mortality rates because of cardiovascular involvement. Patient survival can be increased by prompt supportive care. In this study, we evaluated a case of aluminium phosphide intentional poisoning in an adult patient. The patient had toxic myocarditis and developed ST elevation on ECG during hospital course, raised troponins and global hypokinesia on echocardiogram. The patient was managed by trimetazidine, intravenous magnesium sulphate, n-acetylcysteine and inotropes. Follow-up echocardiogram, three months later was normal. Keywords: Pesticide, Aluminium phosphide, Cardiotoxicity.
AlP 中毒因累及心血管而导致死亡率升高。通过及时的支持性护理可以提高患者的存活率。在本研究中,我们评估了一例成人磷化铝蓄意中毒患者。该患者患有中毒性心肌炎,在住院期间心电图出现 ST 抬高,肌钙蛋白升高,超声心动图出现全面心动过速。患者接受了曲美他嗪、静脉注射硫酸镁、正乙酰半胱氨酸和肌注治疗。三个月后的随访超声心动图检查结果正常。关键词农药 磷化铝 心脏毒性
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引用次数: 0
First Recorded Large-Scale Adoption of Virtual Reality as a Part of Curriculum 首次记录大规模采用虚拟现实技术作为课程的一部分
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.05
Dr Adith Chinnaswami
Virtual Reality (VR) has been gaining traction as a medium of training for medical students, with various studies finding a multitude of advantages. These developments have led to its inculcation into educational institutions and programs. This study intended to understand the impact of using VR training on Indian medical students. Over 200 students from KIMS were enrolled in a VR-integrated curriculum program consisting of 10 modules across an academic year (Aug 2021-June 2022). After completion of all modules in the guided and evaluation modes, each student was asked to fill out an online questionnaire. An objective analysis of the results suggested that it was an interesting form of learning (61% of students), one that was more effective than manikin training (47%), bringing an increased level of confidence post training (92%). Feedback on the modules included satisfactory learning points, room for improvement in the visual graphics, and positive opinions on the assessment aspect. Overall, this study found that medical students perceived VR training as a fun and effective way to not only educate but assess them on procedural skills. Limitations included the need for repeated practice and the need to develop more realism in the digital environment to bring greater immersion. Keywords: Virtual Reality, Healthcare Training, VR Skill Training, Medical Simulation, KIMS.
虚拟现实(VR)作为医科学生的一种培训媒介,已经获得了越来越多的关注,各种研究发现了它的诸多优势。这些发展促使虚拟现实技术被纳入教育机构和课程。本研究旨在了解使用 VR 培训对印度医科学生的影响。来自 KIMS 的 200 多名学生参加了由 10 个模块组成的 VR 整合课程项目,时间跨度为一学年(2021 年 8 月至 2022 年 6 月)。在指导和评估模式下完成所有模块后,每个学生都被要求填写一份在线问卷。对结果的客观分析表明,这是一种有趣的学习形式(61% 的学生),比人体模型训练更有效(47%),并提高了训练后的自信水平(92%)。对模块的反馈包括满意的学习要点、可视化图形的改进空间以及对评估方面的积极评价。总之,这项研究发现,医学生认为 VR 培训是一种有趣而有效的方式,不仅能教育他们,还能评估他们的手术技能。不足之处包括需要反复练习,以及需要在数字环境中开发更多的逼真度,以带来更强的沉浸感。关键词虚拟现实、医疗保健培训、VR 技能培训、医学模拟、KIMS。
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引用次数: 0
The Psychological Impact of COVID-19 pandemic on Adult Patients pre and post receiving COVID-19 vaccine at KAMC Vaccination center, Riyadh, April 2021 COVID-19 大流行对利雅得 KAMC 疫苗接种中心成人患者接种 COVID-19 疫苗前后的心理影响,2021 年 4 月
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.10
Dr Wejdan Alshehri
Background: The COVID-19 pandemic was declared by the WHO on March 11, 2020. To limit the spread of theSARS-CoV-2 virus that caused the pandemic, Saudi Arabia took precautionary steps like many other countries.COVID-19 symptoms typically resemble those of a cold and include a cough, fever, dyspnea, anosmia, ageusia, and headache. Not only did the COVID-19 have an impact on physical health, but also on mental health. Numerous factors, regardless of age, including work-related stress, lockdowns, social isolation, and quarantine in response to contain SARS-CoV-2 have a negative impact on the mental health of large populations. Individuals and communities have been impacted by public health emergencies, which have led to strong emotions and unhealthy behaviors. The most common manifestations of psychological problems are disorders of anxiety, depression, and panic. Due to the rapid spread of the disease, persistent efforts were put into developing a vaccine as soon as possible. Despite the fact that vaccines have been widely disseminated and given to large populations, there is still vaccine hesitancy, which may be brought on by concerns about the effectiveness of the vaccines, early trials, and related side effects. The Kingdom of Saudi Arabia started the vaccination process in December 2020. BioNTech/Pfizer and AstraZeneca are the vaccines that are being used in Saudi Arabia. The most common side effect of the COVID-19 vaccines is mild to moderate pain at the injection site. Fatigue, headache, fever, chills, and myalgia have also been reported. The side effects are reported to last for one day. This study aims to assess the psychological impact of the COVID-19 vaccine on the adult population of Saudi Arabia.
背景:2020 年 3 月 11 日,世界卫生组织宣布 COVID-19 大流行。COVID-19 的症状通常与感冒相似,包括咳嗽、发烧、呼吸困难、嗅觉障碍、衰老和头痛。COVID-19 不仅影响身体健康,还影响心理健康。许多因素(不分年龄),包括与工作有关的压力、封锁、社会隔离以及为遏制 SARS-CoV-2 而进行的隔离,都对大量人群的心理健康产生了负面影响。个人和社区受到公共卫生突发事件的影响,从而产生了强烈的情绪和不健康的行为。最常见的心理问题表现为焦虑、抑郁和恐慌。由于疾病传播迅速,人们一直在努力尽快研发疫苗。尽管疫苗已被广泛传播并在大量人群中接种,但人们仍对疫苗犹豫不决,这可能是由于对疫苗的有效性、早期试验和相关副作用的担忧。沙特阿拉伯王国于 2020 年 12 月启动了疫苗接种程序。沙特阿拉伯使用的疫苗是 BioNTech/Pfizer 和 AstraZeneca。COVID-19 疫苗最常见的副作用是注射部位轻度至中度疼痛。也有疲劳、头痛、发烧、发冷和肌痛的报道。据报道,这些副作用会持续一天。本研究旨在评估 COVID-19 疫苗对沙特阿拉伯成年人群的心理影响。
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引用次数: 0
A Cross Sectional Study of Coagulation Profile in Type 2 Diabetes Mellitus Patients in Correlation with HbA1c 2 型糖尿病患者凝血谱与 HbA1c 相关性的横断面研究
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.07
Dr T. Arun Kumar
Introduction: Diabetes mellitus is a prevalent global health concern associated with increased cardiovascular risk. Hypercoagulability is a prominent feature in diabetic patients, contributing to thrombotic complications. This study explores the coagulation profile in Type 2 diabetes mellitus (T2DM) patients, focusing on the correlation with glycated hemoglobin (HbA1c). Aim: The study aims to assess coagulation impairment in T2DM through routine prothrombin time (PT) and activated partial thromboplastin time (APTT) measurements, thereby preventing thromboembolic cardiovascular disease (CVD). It further examines the relationship between coagulation parameters, HbA1c, and diabetes duration.
简介糖尿病是全球普遍关注的健康问题,与心血管风险增加有关。高凝状态是糖尿病患者的一个显著特征,可导致血栓并发症。本研究探讨了 2 型糖尿病(T2DM)患者的凝血状况,重点是与糖化血红蛋白(HbA1c)的相关性。目的:该研究旨在通过常规凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)测量来评估 T2DM 患者的凝血功能障碍,从而预防血栓栓塞性心血管疾病(CVD)。研究还进一步探讨了凝血参数、HbA1c 和糖尿病病程之间的关系。
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引用次数: 0
Paramedic Using Tourniquet in War 辅助医务人员在战争中使用止血带
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.12
Sultan Hassan Alshehri
This research paper delves into the critical role of paramedics in utilizing tourniquets during wartime scenarios. The application of tourniquets by paramedics in war zones has gained substantial attention due to its life-saving potential. This paper highlights the problem statement concerning the challenges paramedics face while using tourniquets in high-stress combat environments. The purpose of this study is to explore the effectiveness, limitations, and advancements in tourniquet usage by paramedics during wartime, aiming to enhance the overall understanding of emergency medical interventions in such situations. By analyzing existing literature and drawing insights from real-world cases, this paper emphasizes the significance of proper tourniquet application by paramedics, ultimately contributing to improved casualty outcomes on the battlefield.
本研究论文深入探讨了辅助医务人员在战时使用止血带的关键作用。由于止血带具有挽救生命的潜能,医护人员在战区使用止血带的问题已引起广泛关注。本文重点阐述了辅助医务人员在高压力作战环境中使用止血带所面临的挑战。本研究的目的是探讨战时医护人员使用止血带的有效性、局限性和先进性,旨在加强对此类情况下紧急医疗干预的整体理解。通过分析现有文献并从真实案例中汲取启示,本文强调了医护人员正确使用止血带的重要性,最终有助于改善战场上的伤亡结果。
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引用次数: 0
Planning and Development of Health Management Information Systems 卫生管理信息系统的规划与开发
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.16
Mohammed A Almutairi
The research examines the field of Health Management Information Systems (HMIS) which are created and used in existing healthcare systems. It highlights the significance of HMIS as well as its advantages and drawbacks. Critical phases in the development of an HMIS are described in the methodology section. The existing findings support data-driven decision-making, improved patient care, cost savings, and higher data security. Among the difficulties include interoperability, data security, and workforce issues. In conclusion, HMIS is necessary for healthcare, requiring careful planning and investment to improve patient care, make the most of available resources, and ensure data security in a constantly evolving healthcare environment.
本研究探讨了卫生管理信息系统(HMIS)领域,该系统是在现有医疗保健系统中创建和使用的。研究强调了健康管理信息系统的重要性及其优缺点。方法论部分介绍了开发 HMIS 的关键阶段。现有研究结果支持数据驱动决策、改善病人护理、节约成本和提高数据安全性。困难包括互操作性、数据安全和劳动力问题。总之,HMIS 是医疗保健所必需的,需要仔细规划和投资,以改善患者护理,充分利用可用资源,并在不断发展的医疗保健环境中确保数据安全。
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引用次数: 0
The Effect of Hyperhomocysteinemia, Low Serum Vitamin B12 and Folate on Increasing Lose of Bone Density and Increasing Incident of Osteoporotic Hip Fracture among Elderly Population 高同型半胱氨酸血症、低血清维生素 B12 和叶酸对老年人骨密度丢失增加和骨质疏松性髋部骨折发生率增加的影响
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.09
Dr Iyad Awad Yousef Tanash
Subjective: Many studies shown a relationship between high plasma homocysteine level, low serum vitamin B12 and folate level and increasing risk of loss bone mass density and the increasing risk of incidental hip fracture among the elderly population (age more than 65 years old in both sexes) Aim of the study: This systemic article review aims to revise the main researches related to this subject and find out whether there is a significant relationship between high plasma homocysteine level, low serum vitamin B12 and folate level and increasing risk of loss bone mass density and the increasing risk of incidental hip fracture among the elderly population (age more than 65 years old in both sexes) Methods: About 10retrospective and prospective (cohort) cross sectional related studies have been reviewed and analyzed for the purpose of reaching the results. High plasma homocysteine level (> 12μg/L), low serum vitamin B 12 level (< 200 μg/L)And low serum of vitamin B9(>140 μg/L) Discussion: Multiple medical and nutritional studies talk, discuss, and explain the relationship between high plasma homocysteine level, low serum vitamin B12 and folate level and increasing risk of loss bone mass density and the increasing risk of incidental hip fracture among the elderly population (age more than 65 years old in both sexes) Results: Most of the reviewed related researches have shown mild (weak) relationship between high plasma homocysteine level, low serum vitamin B12 and folate level, but this related researchhas shown mild significant relationship between high plasma homocysteine level, low serum vitamin B12 and folate and the increasing risk of incidental hip fracture. Keywords: Osteoporosis, Vitamin B12, Homocysteine, Folic Acid, Hip Fracture.
主观许多研究表明,高血浆同型半胱氨酸水平、低血清维生素 B12 和叶酸水平与老年人群(男女均超过 65 岁)骨质密度下降的风险增加和意外髋部骨折的风险增加之间存在关系:本系统性文章综述旨在回顾与该主题相关的主要研究,了解高血浆同型半胱氨酸水平、低血清维生素 B12 和叶酸水平与老年人群(65 岁以上,男女不限)骨质密度下降风险增加和意外髋部骨折风险增加之间是否存在显著关系 方法:约 10 篇回顾性和前瞻性文章综述了高血浆同型半胱氨酸水平、低血清维生素 B12 和叶酸水平与老年人群(65 岁以上,男女不限)骨质密度下降风险增加和意外髋部骨折风险增加之间是否存在显著关系:为了得出结论,我们回顾并分析了约 10 项回顾性和前瞻性(队列)横断面相关研究。高血浆同型半胱氨酸水平(> 12 μg/L)、低血清维生素 B12 水平(< 200 μg/L)和低血清维生素 B9 水平(> 140 μg/L 讨论:多项医学和营养学研究探讨、讨论和解释了高血浆同型半胱氨酸水平、低血清维生素 B12 和叶酸水平与老年人群(65 岁以上的男女)骨质密度下降风险增加和意外髋部骨折风险增加之间的关系:大多数相关研究显示,血浆同型半胱氨酸水平高、血清维生素B12和叶酸水平低与骨质密度下降和髋部骨折风险增加之间存在轻微(微弱)关系,而本研究显示,血浆同型半胱氨酸水平高、血清维生素B12和叶酸水平低与髋部骨折风险增加之间存在轻微显著关系。关键词骨质疏松症 维生素 B12 同型半胱氨酸 叶酸 髋部骨折
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引用次数: 0
A study on the effect of biochemical parameters on the outcome and risk stratification of patients with cardiogenic shock following acute myocardial infarction in a Tertiary Care Hospital in South India 关于生化指标对南印度一家三级医院急性心肌梗死后心源性休克患者的预后和风险分层的影响的研究
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.13
Dr Poornima Nair Dr Sivakumar K.
Introduction: Cardiogenic shock (CS) is the most extreme complication of myocardial infarction and it is the initial presentation of at least 1 in 15 patients admitted to ICCU. Despite heroic efforts, the in-hospital mortality due to CS is still very high. Aims To determine the prognosis of patients admitted with cardiogenic shock as a complication of acute MI To stratify the risk in the above patients with respect to the levels of admission day random blood glucose, thyroid hormone levels- T3,T4,TSH, Lipid profile- Total cholesterol, triglycerides, HDL,LDL, serum uric acid, blood urea and serum creatinine. Methodology: We conducted a prospective, observational, descriptive, intention to treat study of patients presenting with cardiogenic shock as a result of acute MI presenting to the ICCU of Government Medical College, Coimbatore. The outcome and the multiple variables (hematological and biochemical parameters) were studied so as to stratify the risk of poor prognosis.
简介心源性休克(CS)是心肌梗死最极端的并发症,至少每 15 名入住重症监护病房的患者中就有 1 人初次出现这种情况。尽管医护人员竭尽全力,但 CS 的院内死亡率仍然很高。根据入院当天的随机血糖水平、甲状腺激素水平(T3、T4、TSH)、血脂情况(总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白、血清尿酸、血尿素和血清肌酐)对上述患者进行风险分层。研究方法我们对哥印拜陀政府医学院 ICCU 的急性心肌梗死致心源性休克患者进行了一项前瞻性、观察性、描述性、意向性治疗研究。研究了结果和多种变量(血液学和生化参数),以便对预后不良的风险进行分层。
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引用次数: 0
To Compare the Effect of Land and Water Based Balance Training in Functional Ankle Instability 比较陆基和水基平衡训练对功能性踝关节不稳定的影响
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.02
Dr Ayasha Jhajjaria
Background: With increasing amount of leisure time and the current emphasis on the physical fitness, the incidence of sports injuries has increased dramatically. Ankle is one of the most common parts of the body to get injured during sports activities. Functional ankle instability is defined as recurrent or subjective feeling of giving way. The studies have shown that Functional Ankle Instability results in decreased ability to maintain balance & a decrease in joint position sense. Aims & Objective: The primary aim of the study is to determine the effect of water & land-based balance training in Functional Ankle Instability.
背景:随着人们闲暇时间的增加和对身体健康的重视,运动损伤的发生率急剧上升。踝关节是运动中最常见的受伤部位之一。功能性踝关节不稳定是指反复出现的或主观感觉的踝关节让位。研究表明,功能性踝关节不稳定会导致保持平衡的能力下降和关节位置感下降。目的和目标:本研究的主要目的是确定水上和陆上平衡训练对功能性踝关节不稳的影响。
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引用次数: 0
The Impact of Coccydynia with Radiological Modality: A Systemic Review 尾骨神经痛对放射学模式的影响:系统回顾
Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.15
Dr Jayeeta Roy
Coccydynia, or Coccygodynia, is pain in the region of the Coccyx. Despite the identification of chronic coccygeal pain hundreds of yearsago, its treatment can be difficult and sometimes controversial because of the multifactorial nature of coccygeal pain.[1] Many Physiologic and psychological factors contribute to its etiology. Most cases of coccydynia resolve within weeks to months with or without conservative treatment, but for a few patients the pain can become chronic and debilitating.[2] Coccydynia is pain located in the coccygeal bone or the surrounding tissues. Coccydynia is a relatively rare condition, occurring more frequently in females and in all ages. Coccydynia is most frequently associated with single axis traumatic injury, childbirth, obesity, and rapid weight-loss related to gastric bypass surgery. There are several etiologies to the occurrence of secondary coccydynia, such as cancer pain, infection.[3]
尾骨痛或尾骨神经痛是指尾骨部位的疼痛。尽管数百年前人们就发现了慢性尾骨痛,但由于尾骨痛的多因素性质,其治疗可能很困难,有时甚至存在争议。大多数尾骨痛患者在接受或不接受保守治疗的情况下,疼痛会在数周至数月内缓解,但也有少数患者的疼痛会转为慢性,并使患者的身体变得虚弱[2]。尾骨痛是一种相对罕见的疾病,多发于女性和所有年龄段的人群。尾骨痛最常见于单轴外伤、分娩、肥胖和胃旁路手术导致的体重急剧下降。继发性尾骨痛有多种病因,如癌症疼痛、感染等[3]。
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引用次数: 0
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Journal of Medical Science And clinical Research
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