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A Study on Prevalence of Depression Among Health Care Workers of a Tertiary Care Center in Northern India During COVID-19 Pandemic 新冠肺炎大流行期间印度北部一家三级医疗中心医护人员抑郁症患病率的研究
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_111_21
V. Gupta, Sukhjit Singh, Vineet Kumar, P. Kanwar
Background: COVID-19 pandemic has given rise to a diverse set of problems related to mental health, employment, economic wellbeing, access to education, inflation, transportation, and vaccination in addition to physical health consequences. Health care workers (HCWs), being in forefront of providing care to COVID-19 patients, are a special vulnerable population suffering from COVID-19-related mental health problems. Method: A cross-sectional study to assess the prevalence of depression among HCWs working in different specialties of a tertiary care health center of Northern India was done. A self-designed performa containing sociodemographic details along with the “Zung self-rating depression scale” was used to obtain the prevalence of depression among HCWs. Result: Among 192 participants, 14.58% had signs of depression, out of which 11.96% had mild, 1.56% had moderate, and 1.04% had signs of severe depression. Conclusion: The depression among HCWs has increased after the onset of the COVID-19 pandemic.
背景:新冠肺炎大流行引发了一系列与心理健康、就业、经济福祉、受教育机会、通货膨胀、交通和疫苗接种以及身体健康后果有关的问题。卫生保健工作者(HCW)是为新冠肺炎患者提供护理的最前线,是一个特殊的弱势群体,患有与COVID-19-19相关的心理健康问题。方法:进行横断面研究,评估在印度北部一家三级医疗保健中心不同专业工作的HCW的抑郁症患病率。采用自行设计的包含社会人口统计学细节的绩效表和“Zung抑郁自评量表”来获得HCW中抑郁的患病率。结果:在192名参与者中,14.58%有抑郁症状,其中11.96%有轻度,1.56%有中度,1.04%有严重抑郁症状。结论:新冠肺炎大流行后,医务人员的抑郁情绪有所增加。
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引用次数: 0
Quality of Life of Health Care Professionals During COVID-19 Pandemic in India COVID-19大流行期间印度医护人员的生活质量
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_134_21
Banipreet Kaur, Yash Aggarwal, N. Bhatnagar, S. Singla
Introduction: Nature of disease, poor working conditions, prolonged work duration, stigma, and discrimination in the community have worsened the well-being of health care professionals in COVID-19. This survey is conducted to understand the quality of life and its key determinants among health care workers (HCWs) during the COVID-19 pandemic in a low middle-income country like India. Methodology: A cross-sectional study using a Google form-based online questionnaire survey was planned at two COVID dedicated centers of New Delhi. A convenience sample of 300 HCWs involved in patient care at the study sites was studied using an SF-36 questionnaire for quality of life assessment and a self-made questionnaire (risk exposure assessment). Results: In the study, 61.0% were males and 40.72% were females across all specialties. The majority (77%) were single and 81.4% were from the age group of 20 to 30 years. 84% of the study subjects belonged to clinical specialties. Nearly 56% of study subjects reported being not satisfactory or uncomfortable in the personal protective equipment (PPE). Shortage of PPE was reported by 10% of study subjects. The majority (82.35%) of study subjects were satisfied with the quality of PPE. Satisfaction of the study subjects was less than satisfactory among food provided, accommodation, and transport facilities. Social isolation (70.5%) and lockdown restraints (57.6%) were reported by the majority of study subjects. The median score for the domain of general vitality was 55, for the emotional domain was 33, and for social was 62. The domains of quality of life were not significantly affected by place of work, discipline, age, sex, and type of work. Conclusion: The overall well-being of HCWs was affected during the pandemic mostly across mental, social, and general vitality domains. Social isolation was a key concern reported by the majority of HCWs.
简介:疾病的性质、恶劣的工作条件、延长的工作时间、污名化和社区歧视恶化了新冠肺炎医疗保健专业人员的福祉。这项调查旨在了解新冠肺炎大流行期间,印度等中低收入国家医护人员的生活质量及其关键决定因素。方法:计划在新德里的两个新冠肺炎专门中心进行一项横断面研究,使用基于谷歌表格的在线问卷调查。使用SF-36生活质量评估问卷和自制问卷(风险暴露评估),对研究地点300名参与患者护理的HCW的便利样本进行了研究。结果:在本研究中,61.0%为男性,40.72%为女性。大多数(77%)是单身,81.4%来自20至30岁的年龄组。84%的研究对象属于临床专业。近56%的受试者表示对个人防护装备不满意或不舒服。10%的受试者报告个人防护用品短缺。大多数(82.35%)受试者对PPE的质量感到满意。受试者对所提供的食物、住宿和交通设施的满意度不太令人满意。大多数研究受试者报告了社交隔离(70.5%)和封锁限制(57.6%)。一般活力领域的中位得分为55,情感领域为33,社交领域为62。生活质量领域没有受到工作地点、纪律、年龄、性别和工作类型的显著影响。结论:在疫情期间,HCW的整体幸福感主要受到心理、社会和一般活力领域的影响。社会孤立是大多数HCW报告的一个主要问题。
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引用次数: 0
Anxiety and Depression in Undergraduate Students Due to Altered Screen Time and Physical Activity Patterns in COVID Times: A Survey 新冠肺炎期间屏幕时间和身体活动模式改变导致大学生焦虑和抑郁:一项调查
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_128_21
Aditya Gupta, Siddharth Trivedi, Keshave Singh, Sagar Bagwe, L. Maini
Objective: This study was done to assess anxiety and depression in undergraduate students due to altered levels of screen time (ST) and physical activity (PA) during the COVID-19 pandemic. Various studies have been carried out about the mental health impacts of ST and PA, but there is a paucity of literature when it comes to exploring these parameters in undergraduate students and the Indian population. This study aims to address this gap. Methods: Data were collected through a survey using an online questionnaire. Participants reported daily ST and weekly PA, both moderately vigorous physical activity (MVPA) and vigorous physical activity (VPA). Symptoms of anxiety and depression were ascertained using the Hospital Anxiety and Depression Score. Results: Out of the total 165 students analyzed, we found that 63% had borderline or pathological anxiety levels while 41.2% had borderline or pathological depression levels. There was a negative correlation between depression score and PA, for both MVPA (r = –0.233, P = 0.001) and VPA (r = –0.268, P = 0.0002). A negative correlation was found between anxiety score and PA for MVPA (r = –0.151, P = 0.024). There was a positive correlation between ST and scores of anxiety (r = 0.305, P = 0.006) and depression (r = 0.257, P = 0.02) in females but no correlation was found in males. Conclusion: The present study suggests that there is a high prevalence of borderline and pathological anxiety and depression amongst undergraduate students. High levels of PA and low levels of ST are separately associated with a lesser risk of anxiety and depression.
目的:本研究旨在评估2019冠状病毒病大流行期间大学生因屏幕时间(ST)和身体活动(PA)水平改变而产生的焦虑和抑郁。关于ST和PA对心理健康的影响已经进行了各种研究,但在本科生和印度人口中探索这些参数时,文献很少。本研究旨在解决这一差距。方法:采用在线问卷调查的方式收集资料。参与者报告每日ST和每周PA,包括中度剧烈身体活动(MVPA)和剧烈身体活动(VPA)。使用医院焦虑和抑郁评分确定焦虑和抑郁症状。结果:在分析的165名学生中,我们发现63%的学生有边缘性或病理性焦虑水平,41.2%的学生有边缘性或病理性抑郁水平。MVPA (r = -0.233, P = 0.001)和VPA (r = -0.268, P = 0.0002)与抑郁评分呈负相关。MVPA患者焦虑评分与PA呈负相关(r = -0.151, P = 0.024)。女性焦虑(r = 0.305, P = 0.006)、抑郁(r = 0.257, P = 0.02)得分与ST呈正相关,男性无相关。结论:本研究提示大学生存在较高的边缘性和病理性焦虑抑郁患病率。高水平的PA和低水平的ST分别与较低的焦虑和抑郁风险相关。
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引用次数: 0
A Study on Perception of Stress Among First-Year Medical Undergraduates During COVID-19 Pandemic 新冠肺炎疫情期间一年级医学生应激感受的研究
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_3_22
Shilpa Khullar, Suman Das, S. Rizvi, P. Sinha, Syed Sibte Akbar Abidi, Rahul Baisla
Background: Medical students have been reported to suffer from a higher degree of perceived stress compared to the age-matched population doing other courses. Stress caused by the ongoing coronavirus disease (COVID-19) pandemic, lockdown, and the consequent shift of teaching methods to digital format has further compounded the stress associated with pursuing the medical curriculum. Aims and Objectives: Our study aimed to assess perceived stress among first-year MBBS students during COVID-19 induced lockdown using a self-administered Perceived Stress Scale (PSS-10) questionnaire. Materials and Methods: A total of 108 first-year MBBS students in the 18–25 years age group of both sexes were administered a 10-item questionnaire: PSS-10 during 2 months from June-July 2021and depending on their scores of PSS were divided into three groups Group A, B, and C signifying mild, moderate, and severe stress perceived by them, respectively. The continuous variables are presented as mean ± standard deviation and the categorical variables as proportions. Analysis of Variance (ANOVA) was used to compare the data between continuous variables in the three groups. Result: There was a statistically significant difference in the PSS scores between the three groups when a comparison was done (P < 0.05). A larger segment of the first-year medical students undergoing medical curriculum during the COVID-19 pandemic were found to be moderately (63%) to severely (4%) stressed. Conclusion: Our study suggested that the stress induced by the pandemic in addition to the stressors associated with undertaking medical courses creates a highly stressful environment for the medical students predisposing them to significant psychological morbidity.
背景:据报道,与学习其他课程的年龄匹配人群相比,医学生承受的压力更大。持续的冠状病毒疾病(新冠肺炎)大流行、封锁以及随之而来的教学方法向数字形式的转变所造成的压力进一步加剧了与学习医学课程相关的压力。目的和目的:我们的研究旨在使用自我管理感知压力量表(PSS-10)问卷评估新冠肺炎导致封锁期间MBBS一年级学生的感知压力。材料和方法:共有108名18-25岁年龄组的MBBS一年级学生接受了一份10项问卷调查:从2021年6月至7月的2个月内,根据他们的PSS得分,将他们分为三组,A组、B组和C组,分别表示他们感知到的轻度、中度和重度压力。连续变量表示为平均值±标准差,分类变量表示为比例。方差分析(ANOVA)用于比较三组中连续变量之间的数据。结果:进行比较时,三组学生的PSS评分存在统计学显著差异(P<0.05)。在新冠肺炎大流行期间,接受医学课程的一年级医学生中,有较大一部分人处于中度(63%)至重度(4%)紧张状态。结论:我们的研究表明,除了与参加医学课程相关的压力源外,疫情引发的压力还为医学生创造了一个高度紧张的环境,使他们容易患上严重的心理疾病。
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引用次数: 0
Perspective of Medical and Dental Students and Teachers Toward Online Teaching in Pharmacology During COVID-19 Pandemic 新冠肺炎大流行期间医学和牙科学生和教师对药理学在线教学的展望
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_120_21
Sahil Kumar, Vandana Tayal, Razi Akhtar, S. Chawla, V. Roy
Introduction: In the light of the disruption caused by the coronavirus pandemic on medical education systems worldwide, several institutions switched to online mode of teaching-learning. Therefore, this study was planned to evaluate the perception, difficulties faced, and preference of second year medical/dental students and their teachers toward the online learning and live-streamed lectures during the COVID-19 pandemic. Methods: This was a cross-sectional, questionnaire based observational study. Data were collected by administering pretested, self-administered, online circulated, structured questionnaire via Google Forms. Descriptive statistics were used to summarize the study results. Results: In this study, 198 and 77 responses were obtained from MBBS and BDS students, respectively, and 14 responses from their teachers. Most students agreed that it was a good idea to conduct online teaching during lockdown. Majority of the students were able to adapt even without previous experience. “GoToWebinar” and “Cisco Webex” were reported as good online teaching platforms. Smart phones or tablets were most commonly used to attend classes. Major challenges reported were related to lack of skills, interest, attention, time management, resources (including internet connectivity), and poor communication among others. The students felt that the optimum duration of lectures should be 30 to 45 minutes. Majority of students and teachers alike felt that online teaching is a good option to be adopted for repeat classes or to gain extra knowledge in the future. Overall rating of online teaching (out of 10) was reported as good by both students (MBBS students mean score: 7.49 ± 1.57) and teachers (mean score: 7 ± 1.58). Conclusions: The situation arising out of the pandemic gave rise to a situation where online resources had to be used for teaching. The shift of medical education to online platforms presented a spectrum of issues for educators and students alike. It would be worth considering addressing these issues, so as to strengthen electronic learning processes in the institute.
引言:鉴于冠状病毒大流行对全球医学教育系统造成的破坏,一些机构转向了在线教学模式。因此,本研究旨在评估二年级医学/牙科学生及其教师在新冠肺炎大流行期间对在线学习和直播讲座的看法、面临的困难和偏好。方法:这是一项横断面的、基于问卷的观察性研究。数据是通过谷歌表格进行预测试、自我管理、在线分发、结构化问卷收集的。采用描述性统计方法对研究结果进行总结。结果:在本研究中,MBBS和BDS学生分别获得198份和77份回复,教师获得14份回复。大多数学生都认为,在封锁期间进行在线教学是个好主意。大多数学生即使没有以前的经验也能适应。“GoToWebinar”和“Cisco Webex”被报道为良好的在线教学平台。上课时最常用的是智能手机或平板电脑。报告的主要挑战涉及缺乏技能、兴趣、注意力、时间管理、资源(包括互联网连接)和沟通不良等。学生们认为最好的授课时间应该是30到45分钟。大多数学生和老师都认为,在线教学是复课或未来获得额外知识的好选择。两名学生对在线教学的总体评分(满分10分)均为良好(MBBS学生平均得分:7.49分 ± 1.57)和教师(平均分:7 ± 1.58)。结论:疫情引发的情况导致了必须使用在线资源进行教学的情况。医学教育向在线平台的转变给教育工作者和学生带来了一系列问题。值得考虑解决这些问题,以加强研究所的电子学习过程。
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引用次数: 1
Secondary Amyloidosis with Fatal Outcome in a Child with Meningomyelocele: Need for a Closer Renal Surveillance 儿童脑膜脊髓膨出继发性淀粉样变性致死性结局:需要更密切的肾脏监测
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_60_21
M. Bharadwaj, Aashima Dabas, M. Mantan, V. Batra, S. Yadav
Amyloidosis constitutes a group of diseases characterized by extracellular deposition of fibrils composed of low molecular weight subunits of a variety of proteins. Secondary amyloidosis may result from chronic inflammatory conditions such as familial Mediterranean fever, juvenile idiopathic arthritis, tuberculosis, and bronchiectasis. Myelomeningocele is reported rarely in literature as a cause of amyloidosis. We report here a case of 6-year-old boy with operated congenital lumbar myelomeningocele with paraparesis and neurogenic bladder, who was diagnosed with nephrotic syndrome with hypertension. He underwent a renal biopsy which showed amyloidosis. During the course of treatment, he acquired a perigenital infection and later succumbed to it. A closer follow-up of patients with neurogenic bladder can help identify and manage renal complications early.
淀粉样变性是一组以细胞外原纤维沉积为特征的疾病,原纤维由多种蛋白质的低分子量亚基组成。继发性淀粉样变性可能由慢性炎症引起,如家族性地中海热、青少年特发性关节炎、肺结核和支气管扩张。骨髓增生性膨出在文献中很少被报道为淀粉样变性的病因。我们在此报告一例6岁男孩先天性腰椎脊膜膨出伴麻痹和神经源性膀胱的手术,他被诊断为肾病综合征伴高血压。他接受了肾活检,结果显示淀粉样变性。在治疗过程中,他感染了生殖器周围感染,后来死于生殖器周围感染。对神经源性膀胱患者进行更密切的随访可以帮助早期发现和处理肾脏并发症。
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引用次数: 0
Anesthesia Concerns and Management in Case of Severe Hemophilia A: A Case Report and Review of Literature 严重血友病A的麻醉问题及处理:1例报告及文献复习
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_115_21
Deepali Jamgade, Manasa Kantha, S. Agrawal, D. Chattopadhyay, U. Nath
Abstract Hemophilia is a genetic disease presenting with increased chances of perioperative bleeding. Preoperative recognition, assessment of risk, and careful titration of factor VIII transfusion are important for anesthesia management and decrease of morbidity. Here we present a case of severe hemophilia with an open wound of the knee scheduled for flap rotation and cover.
血友病是一种遗传性疾病,表现为围手术期出血的机会增加。术前认识、风险评估和仔细滴注因子VIII对麻醉管理和降低发病率很重要。在这里我们提出一个严重血友病的情况下,开放的伤口的膝盖计划皮瓣旋转和覆盖。
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引用次数: 0
Periarticular Injections After Bipolar Hemiarthroplasty 双极半关节置换术后关节周围注射
Pub Date : 2022-05-01 DOI: 10.4103/mamcjms.mamcjms_100_21
Akhil Wadhawan, Yasim Khan, S. Arora
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引用次数: 0
Experiences with Horizontal and Vertical Integration in Competency-based Physiology Education 横向与纵向结合在素质生理学教学中的体会
Pub Date : 2022-01-01 DOI: 10.4103/mamcjms.mamcjms_112_21
A. Mahajan, Garima Rakheja, S. Kaushik, Prerna Arora, A. Chitkara, Rashmi Verma
Integrated teaching is a well-known concept in medical education and has been reintroduced in the competency-based curriculum. The physiology department started the exercise in the topic of hematology in 2019 in the offline mode and again in 2021 in the online mode (due to the pandemic). This article is an attempt to describe what went through in its conceptualization and implementation. The background of integration, types of integration, how the exercise was planned, and the feedback of the faculty are included. This could benefit the phases 2 and 3 faculty members who must be planning similar exercises now. In addition, it would act as a screenshot to others, phase 1 faculty included, to help them do a similar or other exercises in the coming years. Integration in competency-based curriculum is here to stay. We can gradually improve upon it and innovate it.
整合教学是医学教育中一个众所周知的概念,在能力本位课程中被重新引入。生理学系在2019年开始了血液学课题的线下练习,在2021年又开始了线上练习(因为新冠肺炎)。本文试图描述其概念化和实施过程。整合的背景、整合的类型、练习是如何计划的,以及教师的反馈都包括在内。这将有利于第二阶段和第三阶段的教师,他们现在必须计划类似的练习。此外,它还可以作为其他人的截图,包括第一阶段的教师,帮助他们在未来几年做类似的或其他的练习。以能力为基础的课程整合将继续存在。我们可以逐步改进和创新。
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引用次数: 0
Internet Gaming Disorder and Its Harmful Health Effects among the Medical Students in a Tertiary Care Teaching Hospital 某三级教学医院医学生网络游戏成瘾及其对健康的危害
Pub Date : 2022-01-01 DOI: 10.4103/mamcjms.mamcjms_63_21
A. Singh, Tuhina Shree, Prem Kumar
Background: Online gaming has gained a lot of popularity due to easy accessibility of Internet-enabled devices. This has given rise to a new phenomenon of gaming addiction. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) published by American Psychiatric Association, in 2013, included the term Internet gaming disorder (IGD). Impact of IGD on physical and psychologic health warrants further exploration. Objectives and methods: A cross-sectional study was carried out among medical students to find out the prevalence of IGD and the associated health effects. The study was conducted from July to September 2019. Data collection was carried out using a semistructured self-administered questionnaire consisting of sociodemographic profile, Pittsburgh sleep quality index, DSM-5 criteria for IGD and examination of participants. Data were entered and analyzed using frequency, percentage, and Chi-square test. Results: Almost three-fourth participants (72.2%) engaged in the online games out of which 30.9% had IGD. A higher proportion of male students were found to be suffering from IGD. Sleeping disorder was also found to be significantly more among those who had IGD. Conclusion: Prevalence of IGD was found to be high among medical students. The majority of gamers also faced various health consequences of which sleeping disorder was the major problem.
背景:由于网络设备的易用性,网络游戏越来越受欢迎。这就产生了一种新的游戏成瘾现象。2013年,美国精神病学协会出版的《精神疾病诊断与统计手册》第五版(DSM-5)将网络游戏障碍(IGD)一词纳入其中。IGD对身心健康的影响值得进一步探讨。目的与方法:对医学生进行横断面调查,了解IGD患病率及其对健康的影响。该研究于2019年7月至9月进行。数据收集采用半结构化的自我管理问卷,包括社会人口统计资料、匹兹堡睡眠质量指数、DSM-5 IGD标准和参与者的检查。输入数据并使用频率、百分比和卡方检验进行分析。结果:近四分之三的参与者(72.2%)参与网络游戏,其中30.9%患有IGD。男性学生患IGD的比例更高。研究还发现,患有IGD的人更容易出现睡眠障碍。结论:医学生IGD患病率较高。大多数玩家还面临着各种各样的健康问题,其中睡眠障碍是主要问题。
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引用次数: 1
期刊
MAMC Journal of Medical Sciences
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