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Oral health status of special health care needs children attending a day care centre in Chennai 金奈某日托中心有特殊保健需要儿童的口腔健康状况
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113814
M. Saravanakumar, A. Vasanthakumari, R. Bharathan
Introduction: Oral health is an important aspect of health for all children and is all the more important for children with special needs. Aim: To evaluate the oral health status of special health need children at Vidya Sudha, a day care centre in Chennai. Materials and Method: A modified WHO oral health assessment form was used to assess the caries experience, gingival, and oral hygiene status. Result: Data were analyzed using ANOVA and chi-square test. No statistical significant differences were found between the evaluated groups regarding age or gender, and medical conditions. Conclusion: Majority of the children had poor oral hygiene, showing high caries prevalence as well as moderate gingivitis.
口腔健康是所有儿童健康的一个重要方面,对有特殊需要的儿童尤为重要。目的:评价金奈市维迪亚苏达日托中心有特殊健康需要儿童的口腔健康状况。材料与方法:采用修改后的WHO口腔健康评估表对龋病经历、牙龈和口腔卫生状况进行评估。结果:数据分析采用方差分析和卡方检验。在年龄、性别和医疗条件方面,被评估组之间没有发现统计学上的显著差异。结论:大多数儿童口腔卫生状况较差,龋患病率高,牙龈炎中度。
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引用次数: 17
Lessons learnt from umbilical cord accidents: are these stillbirths preventable? 从脐带事故中吸取的教训:这些死产是否可以预防?
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113483
Kunaal K. Shinde, V. Bangal, A. Kwatra, Sai K Borawake
Umbilical cord accidents (UCA) refer to a group of conditions, where the umbilical cord vessels undergo sudden compression, compromising the blood flow to the fetus. UCA are associated with still birth and are often considered to be an etiology of sudden antenatal death syndrome. Herein, we report three cases of UCA, which reported late to us, resulting in fetal demise.
脐带意外(UCA)是指脐带血管突然受到压迫,危及胎儿血液流动的一组情况。UCA与死产有关,通常被认为是产前猝死综合征的病因。在此,我们报告三例UCA,报告较晚,导致胎儿死亡。
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引用次数: 0
Adult intussusception by tumor in ileum: a diagnostic dilemma 成人肠套叠由肿瘤在回肠:一个诊断困境
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113484
Juan de Dios Díaz-Rosales, Lenin Enríquez-Domínguez, José Romeo Castillo-Moreno, Pedro G Gutiérrez-Ramírez
Intussusception in adults is an infrequent cause of intestinal obstruction; preoperative diagnosis is difficult as symptoms can be intermittent and long standing. This relatively rare entity differs from the childhood form in its etiology, presentation and treatment. We present two cases of ileo-colic intussusception in adults, with a clinical presentation that mimicked complicated appendicitis. These cases remind us that both ileal tumors and intussusception must be included in the diagnosis of lower abdominal pain.
成人肠套叠是肠梗阻的罕见原因;术前诊断是困难的,因为症状可能是间歇性和长期存在的。这种相对罕见的实体不同于儿童形式在其病因,表现和治疗。我们提出两例成人回肠-结肠肠套叠,临床表现酷似复杂的阑尾炎。这些病例提醒我们,在诊断下腹痛时,必须同时考虑回肠肿瘤和肠套叠。
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引用次数: 3
University research: administrative aspects and the future of undergraduates 大学研究:管理方面和本科生的未来
Pub Date : 1900-01-01 DOI: 10.5549/IJSR.1.3.68-69
R. Valentin, Pavel Ileana Alexandra
Research was introduced in universities more than a hundred years ago, around the same time the scientific method of research grew into what it is now [1,2]. The University of Columbia created its first centre where teaching, research and patient care were combined in 1928 [3] whilst The University of Cambridge started doing research only after 1945 [4]. An important point to mention here is Rockefeller University, which, since its creation in 1901, has been involved in biomedical research [5]. The introduction of research to universities was meant to bring together two important aspects of medical education: learning and discovering. We observe that this allows students to learn what was discovered first hand, assuring an up-to-date curriculum; as well as to learn how to discover. Yesterday’s students are today’s scientists and there is no better point at which to start being interested in research as those young years in which some of the most important characteristics of the human being are: curiosity, motivation to achieve and the ability to work. Undergraduates also are unlikely to not be disconcerted by the lack of significant results or the inability to be at the forefront of the research team. Introducing research into universities seems to have been highly successful. We cannot even imagine, at the moment, how it would have been if professors didn’t do research. We have also grown to expect our teachers to be the best in their area of interest and who else would we want to be the creators of tomorrow’s medicine, if not the best of the best? An important aspect of university research is represented by the funds required for it to be done. This leads us to the administrative aspects of research, which can be taken care of by economists employed by the university, so as to leave researchers free to do their job. A significant role is played by the dean of the university who represents the person best suited to act as a liaison between the medical professionals and the other persons implicated in research, such as biologists, biochemists, research assistants, bio-statisticians and others. As such, a dean must devote a good amount of time to pursue grant opportunities, assuring a healthy relationship between the numerous people involved in the various projects of the university and the investors (pharmaceutical companies, the government etc.). With this spectrum in mind we realize that a dean should be willing to reduce his own research and find pleasure in these administrative aspects. However, a good dean ought to be an experienced researcher himself, as this will allow him to see both facets of the problem: the medical one, as well as the financial and economical one [6]. An important point, which is not to be ignored, is represented by the ability of dedicated university-based researchers to spark the interest of students into research from their first undergraduate years. However, for a student researcher there is one important requireme
一百多年前,研究被引入大学,大约与此同时,科学的研究方法发展成为现在的样子[1,2]。哥伦比亚大学于1928年创建了第一个集教学、研究和病人护理于一体的中心[3],而剑桥大学在1945年之后才开始做研究[4]。这里要提到的一个重点是洛克菲勒大学,自1901年创建以来,它一直从事生物医学研究[5]。把研究引入大学是为了把医学教育的两个重要方面结合起来:学习和发现。我们注意到,这可以让学生学习第一手发现的东西,确保最新的课程;以及学会如何去发现。昨天的学生是今天的科学家,在年轻的时候开始对研究感兴趣是再好不过的了,因为人类最重要的一些特征是:好奇心、取得成就的动力和工作的能力。本科生也不太可能不因缺乏重大成果或无法站在研究团队的前沿而感到不安。将研究引入大学似乎非常成功。我们现在甚至无法想象,如果教授们不做研究,会是什么样子。我们也逐渐期望我们的老师在他们感兴趣的领域是最好的,如果不是最好的,我们还希望谁成为明天医学的创造者?大学研究的一个重要方面是研究所需的资金。这就引出了研究的管理方面,这可以由大学雇佣的经济学家来处理,这样研究人员就可以自由地做他们的工作。大学院长发挥着重要作用,他是最适合作为医学专业人员与其他参与研究的人员(如生物学家、生物化学家、研究助理、生物统计学家等)之间的联络人的人。因此,院长必须投入大量的时间来寻求资助机会,确保参与大学各种项目的众多人员与投资者(制药公司、政府等)之间建立健康的关系。考虑到这个范围,我们意识到院长应该愿意减少自己的研究,在这些管理方面找到乐趣。然而,一个好的院长自己应该是一个有经验的研究者,因为这将使他看到问题的两个方面:医学方面,以及金融和经济方面[6]。不可忽视的一点是,大学里的研究人员有能力激发学生从本科一年级就开始研究的兴趣。然而,对于一个学生研究者来说,有一个重要的要求:一个导师。由于教师必须进行教学、实践和研究,时间的短缺可能是一个真正的问题[7,8]。对于这个问题已经找到了几种解决办法。其中之一是由美国国立卫生研究院(NIH)授予这些教员,这些教员在一个真正的研究项目中与5到10名学生一起工作,在项目实施一年后,结果在各种会议上发表;双方都在这个过程中获益[9]。研究和教学之间最好的结合可以在通过课程的主要主题进行创新的项目中找到。生物医学信息学正好属于这一类。它既关注医学的新方面,如药物从分子到床边治疗的路径和基因组学的新领域,也关注教育计划的改进。这是通过内部和外部同行评审,询问学生和研究生的意见,并通过自我评估报告[7]来完成的。捷克共和国[10]、美国[11,12]、澳大利亚[11]和中国[13]都有这样的项目。许多国家的研究预算都很低,分布在几个精选的学术中心和医院之间。这使得面临地理隔离的小型大学的研究人员更难进行有意义的研究并分享他们的成果。这个问题的解决方案是通过使用新的技术,如电话会议,它允许所需的同伴支持[14,15]。西方作家强制小组已经做过了[16]。这是一个跨机构、跨学科的教师写作支持小组,成立于2003年6月。每周通过电话会议举行会议,旨在提高其成员的写作技巧和生产力,并向教职员工和研究生开放[17]。 这个作者的观点是,像这样的团体,使用便宜甚至免费的电话会议解决方案(如Skype),可以提供一个解决上述问题的方案。目前,研究已经变得如此重要,以至于大多数国家都将本科生研究作为衡量大学质量的一种方式,通过美国使用的“全国学生参与调查”(National Survey of Student Engagement)中的项目[7,8,18,19]。布加勒斯特,罗马尼亚;衡量一个国家的研究活动的最后一种方法是通过大学获得的著名奖项来衡量一个国家的研究活动
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引用次数: 0
Objective Structured Clinical Examination: a valid and reliable assessor of clinical competency 目的结构化临床考试:临床能力的有效和可靠的评估
Pub Date : 1900-01-01 DOI: 10.5549/IJSR.1.3.72-75
A. Siddiqui
In the recent times, there is an increasing awareness regarding the complex problems that have appeared in the education system which cannot be solved by mere intuitive judgment or educated guesswork. Those involved in the education process have to address these challenges and attempt to rectify both the process and the outcome of the policies adopted. The basic educational objective should be defined as “What the learner can do at the end of a course/session/training (that they could not do earlier)”. But the point in question is “How will you decide/conclude that the learner has acquired the desired knowledge/competence/skill?” Does the present evaluation/examination system test all the three basic domains of educational objectives, namely Cognitive, Affective and Psychomotor?
近年来,人们越来越意识到教育系统中出现的复杂问题,这些问题不能仅凭直觉判断或有根据的猜测来解决。参与教育进程的人必须应对这些挑战,并努力纠正所采取政策的过程和结果。基本教育目标应该定义为“学习者在课程/课程/培训结束时能做什么(他们以前不能做的)”。但问题的关键是“你如何判断/断定学习者已经获得了所需的知识/能力/技能?”目前的评估/考试制度是否测试了所有三个基本的教育目标领域,即认知、情感和精神运动?
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引用次数: 2
Extensive involvement of liver parenchyma in emphysematous cholecystitis 气肿性胆囊炎广泛累及肝实质
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.137620
Sanjeev Kumar, S. Gautam, R. Prakash, S. Tiwari
Emphysematous cholecystitis is an uncommon variant of acute cholecystitis caused by gas producing organisms. Only 18-20 cases have been reported in English literature until January 2013. Herein, we present images of computed tomographic scans of a 60-year-old female suffering from abdominal pain and was diagnosed as having acute emphysematous cholecystitis with extensive liver parenchymal involvement. The extensive liver involvement our patient with emphysematous cholecystitis urged us to report this case.
气肿性胆囊炎是由产气生物引起的一种罕见的急性胆囊炎。截至2013年1月,英文文献仅报道18-20例。在此,我们报告了一位60岁女性的计算机断层扫描图像,她患有腹痛,被诊断为急性肺气肿性胆囊炎,伴广泛的肝实质受累。我们的病人患有肺气肿性胆囊炎,肝脏广泛受累,这促使我们报告这个病例。
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引用次数: 0
Current inclination of the clinicians for prescribing various fixed dose combinations: A retrospective, obsevational study in medicine outpatient department at a tertiary care hospital in Jaipur 目前临床医生倾向于处方各种固定剂量组合:斋浦尔一家三级保健医院医学门诊部的回顾性观察研究
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.180078
A. Batta, Pushpawati Jain, Kopal Sharma, M. Shoaib, Prerna Upadhyaya
Introduction: Rational use of drugs is mandatory for improving the quality of life, optimal utilization of our meagre financial resources, and better community healthcare fulfilling the rule of right and need, efficacy, suitability, safety, and affordability criteria. Despite this many irrational fixed dose combinations (FDCs) are continuously springing up in the Indian pharmaceutical market. Hence, it becomes crucial to evaluate the prescribing patterns of FDCs - the current trends and the loopholes. Methodology: This study was carried out in the outpatient department of medicine at Mahatma Gandhi Medical College and Hospital, Jaipur. Total 500 prescriptions were collected for the duration of 6 months, starting from February 2014 and assessed. The data was analyzed using Microsoft Office Excel; version 2007. Results: The data analysis reflected that 60% of prescriptions analyzed contained FDCs; revealing that significantly high number of patients received FDCs. The total number of FDCs in a prescription was also greater (mean = 1.82). Out of 60 FDCs prescribed only three of them were enlisted in the Essential Medicine List of World Health Organization and Government of India. Conclusion: The increased trend in using irrational FDC warrants a drug regulatory body in every hospital to ameliorate the free flow of irrational FDCs. Awareness programs focusing on deleterious consequences related to irrational use of medicines should be made.
前言:合理用药是提高生活质量、优化利用我们有限的财政资源和更好的社区卫生保健的必要条件,符合权利和需要、疗效、适宜性、安全性和可负担性标准。尽管如此,许多不合理的固定剂量组合在印度医药市场上不断涌现。因此,评估fdc的处方模式——当前趋势和漏洞变得至关重要。方法:本研究在斋浦尔圣雄甘地医学院门诊部进行。从2014年2月开始,共收集处方500张,历时6个月进行评估。数据分析使用Microsoft Office Excel; version 2007。结果:数据分析显示,60%的处方含有fdc;这表明大量患者接受了fdc。处方中fdc的总数也较大(平均= 1.82)。在处方的60种药物中,只有3种被列入世界卫生组织和印度政府的基本药物清单。结论:不合理FDC的使用呈上升趋势,需要各医院的药品监管机构改善不合理FDC的自由流动。应当制定提高认识方案,重点关注与不合理使用药物有关的有害后果。
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引用次数: 2
Medicine in the information age: use of Personal Digital Assistants in a Ghanaian hospital 信息时代的医学:加纳一家医院个人数字助理的使用
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113482
David Brodie-Mends
Introduction : Many doctors use Personal Digital Assistants (PDAs) in their personal lives, but a few of them are integrating these devices into their clinical practice. Studies in different countries have explored the extent to which medical practitioners use PDAs, but little work has been done on this subject in Ghana. Methodology : This was a cross-sectional study, sampling a total of 103 participants (67 medical students and 36 house officers) from Korle-Bu Teaching Hospital (KBTH), Accra, Ghana. A custom-designed anonymous questionnaire with 31 questions was developed to assess the trend of PDA use. Results : 65.7% of medical students and 72.2% of house officers in KBTH owned PDAs. 40.9% of medicals students and 42.3% of house officers, use their PDAs before, during or after patient encounters. 61.5% of house officers and 40.9% of medical students indicated that their use of PDAs influence their clinical decision making and 69.2% of house officers and 15.9% of medical students indicated that their use of PDAs helped them avoid drug interactions when prescribing for patients. Analysis tests revealed no relationships between age group, gender and level of IT knowledge with PDA use. Conclusion : Results of this study showed that most medical students and house officers in KBTH used PDAs which made an impact on clinical decision making and patient treatment.
许多医生在个人生活中使用个人数字助理(pda),但也有少数医生将这些设备整合到他们的临床实践中。不同国家的研究探讨了医疗从业者使用pda的程度,但加纳在这方面做的工作很少。方法:这是一项横断面研究,从加纳阿克拉Korle-Bu教学医院(KBTH)共抽样103名参与者(67名医学生和36名住院医生)。我们设计了一份包含31个问题的匿名问卷来评估PDA的使用趋势。结果:65.7%的医学生和72.2%的住院医师拥有pda。40.9%的医科学生和42.3%的医务人员在与病人接触之前、期间或之后使用他们的掌上电脑。61.5%的住院医生和40.9%的医学生表示,他们使用pda影响了他们的临床决策,69.2%的住院医生和15.9%的医学生表示,他们使用pda帮助他们在给病人开处方时避免了药物相互作用。分析测试显示,年龄、性别和IT知识水平与PDA使用之间没有关系。结论:本研究结果显示,KBTH的医学生和住院医师大多使用pda,这对临床决策和患者治疗产生了影响。
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引用次数: 3
The refugee camps: Crisis of humanity and health 难民营:人道和健康危机
Pub Date : 1900-01-01 DOI: 10.4103/IJSR.INT_J_STUD_RES_8_18
M. A. Syed
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引用次数: 0
Breastfeeding: Reality, advantages and challenges 母乳喂养:现实、优势和挑战
Pub Date : 1900-01-01 DOI: 10.4103/IJSR.INT_J_STUD_RES_12_18
Anupam Banerjee
{"title":"Breastfeeding: Reality, advantages and challenges","authors":"Anupam Banerjee","doi":"10.4103/IJSR.INT_J_STUD_RES_12_18","DOIUrl":"https://doi.org/10.4103/IJSR.INT_J_STUD_RES_12_18","url":null,"abstract":"","PeriodicalId":299761,"journal":{"name":"International journal of students' research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133785261","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
International journal of students' research
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