Sukriti Manchanda, S. Saxena, Pooja Sharma, M. Rizvi, Ankita Sharma, Irshad Ahmad, S. Kachanathu
Abstract Objectives Lawn tennis is an explosive sport that involves various fitness parameters such as explosive strength, endurance, power, and agility. Improved physical fitness leads to superior athletic performance. The coach's perception is contingent upon his perception of the player at the time the athlete is comparing himself to the coach. Thus, this study aimed to determine the association between chosen fitness factors and perceived performance by coach in lawn tennis players. Thus, the study aims to detect the relationship between different fitness variables and perceived level of performance in lawn tennis player. Materials and Methods Fifty-two lawn tennis players from two sports academies were measured for various parameters of fitness and perceived performance level as rated by the coach. Statistical Analysis The association between selected fitness metrics and perceived performance in lawn tennis players was investigated using Pearson's correlation test. Furthermore, the data were analyzed with paired t -test for male and female group, and ANOVA was used to analyze the difference between the levels of performance. Results Fatigue index, closed kinetic chain upper extremity stability (CKCUEST) test, and peak power and energy expenditure taken by metabolic equivalent (MET) calculation was found to be statistically different between males and females. While comparing BMI with the peak power, there was a weak positive correlation for males, while for female there was no correlation. Metabolic equivalent, energy expenditure, and peak power were positively correlated with the level of performance; however, fatigue index and level of performance had a negative nonsignificant correlation. Conclusion Peak power, fatigue index, energy expenditure, and BMI were found to be associated in males, but not in females. Peak power and energy expenditure were connected to performance in both genders.
{"title":"Association of Selected Fitness Variables with Perceived Performance Levels in Lawn Tennis Players","authors":"Sukriti Manchanda, S. Saxena, Pooja Sharma, M. Rizvi, Ankita Sharma, Irshad Ahmad, S. Kachanathu","doi":"10.1055/s-0042-1760438","DOIUrl":"https://doi.org/10.1055/s-0042-1760438","url":null,"abstract":"Abstract Objectives Lawn tennis is an explosive sport that involves various fitness parameters such as explosive strength, endurance, power, and agility. Improved physical fitness leads to superior athletic performance. The coach's perception is contingent upon his perception of the player at the time the athlete is comparing himself to the coach. Thus, this study aimed to determine the association between chosen fitness factors and perceived performance by coach in lawn tennis players. Thus, the study aims to detect the relationship between different fitness variables and perceived level of performance in lawn tennis player. Materials and Methods Fifty-two lawn tennis players from two sports academies were measured for various parameters of fitness and perceived performance level as rated by the coach. Statistical Analysis The association between selected fitness metrics and perceived performance in lawn tennis players was investigated using Pearson's correlation test. Furthermore, the data were analyzed with paired t -test for male and female group, and ANOVA was used to analyze the difference between the levels of performance. Results Fatigue index, closed kinetic chain upper extremity stability (CKCUEST) test, and peak power and energy expenditure taken by metabolic equivalent (MET) calculation was found to be statistically different between males and females. While comparing BMI with the peak power, there was a weak positive correlation for males, while for female there was no correlation. Metabolic equivalent, energy expenditure, and peak power were positively correlated with the level of performance; however, fatigue index and level of performance had a negative nonsignificant correlation. Conclusion Peak power, fatigue index, energy expenditure, and BMI were found to be associated in males, but not in females. Peak power and energy expenditure were connected to performance in both genders.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"535 - 542"},"PeriodicalIF":0.3,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48098173","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}
Abstract Background Preterm birth (PTB) is one of the world's leading health concerns, affecting both the mother and the children. This study was undertaken to determine the prevalence and socioeconomic factors associated with PTB among the Meitei women of Manipur. Materials and Methods A community-based cross-sectional study was conducted in postpartum Meitei women of Manipur. Participants were 126 postpartum women that gave birth to a singleton live-born infant and were classified as women giving birth before 37 weeks of gestation (PTB) and women giving birth at ≥37 weeks (term). Data were compared using univariate analysis, and the association of socioeconomic factors with PTB was determined through multivariate logistic regression using Statistical Package for Social Sciences 25 version software program, and statistical significance was taken at a p -value < 0.05. Results The overall prevalence of PTB is 23.01%, of which 13.79% are of extremely preterm. This study revealed a significant association of PTB with mother's occupation (adjusted odds ratio [AOR] = 4.46, 95% confidence interval [CI]: 1.40–14.26, p = 0.012), tobacco consumption during pregnancy (AOR = 2.90, 95% CI: 1.01–8.33, p = 0.048), having family history of PTB (AOR = 3.14, 95% CI: 1.09–9.04, p = 0.034), and early age at menarche (AOR = 4.26, 95% CI: 1.49–12.12, p = 0.007). Conclusion The study highlights the high prevalence of PTB and its association with various socioeconomic factors. Such community-specific studies should be performed to understand the differential risk factors of PTB to control premature death in under 5 years children and to promote women's reproductive health.
{"title":"Socioeconomic Risk Factors for Preterm Birth in Manipur, Northeast India: A Community-Based Study","authors":"Th Chitralekha Devi, H. S. Singh","doi":"10.1055/s-0043-1761609","DOIUrl":"https://doi.org/10.1055/s-0043-1761609","url":null,"abstract":"Abstract Background Preterm birth (PTB) is one of the world's leading health concerns, affecting both the mother and the children. This study was undertaken to determine the prevalence and socioeconomic factors associated with PTB among the Meitei women of Manipur. Materials and Methods A community-based cross-sectional study was conducted in postpartum Meitei women of Manipur. Participants were 126 postpartum women that gave birth to a singleton live-born infant and were classified as women giving birth before 37 weeks of gestation (PTB) and women giving birth at ≥37 weeks (term). Data were compared using univariate analysis, and the association of socioeconomic factors with PTB was determined through multivariate logistic regression using Statistical Package for Social Sciences 25 version software program, and statistical significance was taken at a p -value < 0.05. Results The overall prevalence of PTB is 23.01%, of which 13.79% are of extremely preterm. This study revealed a significant association of PTB with mother's occupation (adjusted odds ratio [AOR] = 4.46, 95% confidence interval [CI]: 1.40–14.26, p = 0.012), tobacco consumption during pregnancy (AOR = 2.90, 95% CI: 1.01–8.33, p = 0.048), having family history of PTB (AOR = 3.14, 95% CI: 1.09–9.04, p = 0.034), and early age at menarche (AOR = 4.26, 95% CI: 1.49–12.12, p = 0.007). Conclusion The study highlights the high prevalence of PTB and its association with various socioeconomic factors. Such community-specific studies should be performed to understand the differential risk factors of PTB to control premature death in under 5 years children and to promote women's reproductive health.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"568 - 574"},"PeriodicalIF":0.3,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43443404","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}
A. Rai, D. Pinto, P. Rai, S. Teerthanath, I. Karunasagar, R. Adiga
Abstract Introduction The clinical presentation of a case as cerebral malaria with molecular identification confirming it as Plasmodium vivax underlines the importance of using molecular tools to identify the species and type of malaria. The possibility of the relationship between the complication observed during clinical diagnosis and the multifactorial molecular changes could likely be the reason for terming it cerebral malaria. Methods We report four cases analyzed using the quantitative buffy coat technique followed by classical Giemsa stained thick-film microscopy, and nested polymerase chain reaction for the genus-specific region of Plasmodium targeting 18S rDNA followed by species-specific identification with a different set of primers and products confirmation with sequencing. Results Primers targeting P. knowlesi generated the expected product size of 153 base pairs that, upon sequencing, matched with the P. vivax sequence reflecting the relatedness of the species. Likewise, primers targeting P. ovale generated a 456 product whose sequence matched the P. vivax sequence. Conclusion Infection with P. vivax can potentially cause cerebral malaria, and P. vivax can cause severe malaria complications alone or mixed with other species and can show cerebral malaria signs, which are typically associated with P. falciparum infections. The sequence relatedness reflects the genome similarity between P. knowlesi and P. ovale with P. vivax . The need to reconfirm with an additional set of newly reported primers is mandatory.
{"title":"Misidentification of Plasmodium Species by Cross-Reacting Primers and Cerebral Malaria Caused by Plasmodium vivax","authors":"A. Rai, D. Pinto, P. Rai, S. Teerthanath, I. Karunasagar, R. Adiga","doi":"10.1055/s-0043-1761258","DOIUrl":"https://doi.org/10.1055/s-0043-1761258","url":null,"abstract":"Abstract Introduction The clinical presentation of a case as cerebral malaria with molecular identification confirming it as Plasmodium vivax underlines the importance of using molecular tools to identify the species and type of malaria. The possibility of the relationship between the complication observed during clinical diagnosis and the multifactorial molecular changes could likely be the reason for terming it cerebral malaria. Methods We report four cases analyzed using the quantitative buffy coat technique followed by classical Giemsa stained thick-film microscopy, and nested polymerase chain reaction for the genus-specific region of Plasmodium targeting 18S rDNA followed by species-specific identification with a different set of primers and products confirmation with sequencing. Results Primers targeting P. knowlesi generated the expected product size of 153 base pairs that, upon sequencing, matched with the P. vivax sequence reflecting the relatedness of the species. Likewise, primers targeting P. ovale generated a 456 product whose sequence matched the P. vivax sequence. Conclusion Infection with P. vivax can potentially cause cerebral malaria, and P. vivax can cause severe malaria complications alone or mixed with other species and can show cerebral malaria signs, which are typically associated with P. falciparum infections. The sequence relatedness reflects the genome similarity between P. knowlesi and P. ovale with P. vivax . The need to reconfirm with an additional set of newly reported primers is mandatory.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"563 - 567"},"PeriodicalIF":0.3,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47557802","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}
Abstract Background Mothers with cesarean section need more attention and care. Early ambulation is the essential to restore the maximum muscle function and improve the health during postoperative period. Early ambulation certainly has proven to be effective in preventing postoperative complications. Aim To evaluate the effectiveness of early ambulation on postoperative recovery among cesarean mothers. Methods Nonprobability purposive sampling technique was used to select 60 cesarean mothers, with 30 samples in each of the experimental and control group. Mothers in the intervention group received bed exercises by the investigator such as flexion and extension of the extremities, upper limb exercises, lower limb exercise, turning the patient, sitting with dangling the feet, and deep breathing exercises which was initiated at 10 hours of cesarean section followed by standing and walking at 12 hours of cesarean section for twice a day, whereas the control group received routine treatment as per the hospital protocol. Demographic proforma was used to assess the demographic characteristics, and structured postoperative recovery assessment tool was used to assess four major components such as pain, breast feeding, postnatal changes, and activity of daily living. The obtained data were analyzed using descriptive and inferential statistics. Statistical Analysis Significant difference in the postoperative recovery score was calculated by using RM-ANOVA and independent t -test and the association of postoperative recovery score with selected demographic variables done by chi-square test. Results The majority of mothers in intervention (66.7%) and control group (63.3%) were 24 to 29 years old and had secondary education (60% each). There was significant difference in breast feeding ( p = 0.001), involution of uterus ( p = 0.047), amount of lochia ( p = 0.027), and activity of daily living in the intervention group ( p < 0.05) compared with the control group. Conclusion Early ambulation improves the postoperative recovery and helps to achieve a good sense of well-being.
{"title":"Effectiveness of Planned Early Ambulation on Postoperative Recovery among Cesarean Mothers: A Quasi-experimental study in Mangaluru","authors":"Carol Karishma Alphones, Janet Prima Miranda","doi":"10.1055/s-0043-1761212","DOIUrl":"https://doi.org/10.1055/s-0043-1761212","url":null,"abstract":"Abstract Background Mothers with cesarean section need more attention and care. Early ambulation is the essential to restore the maximum muscle function and improve the health during postoperative period. Early ambulation certainly has proven to be effective in preventing postoperative complications. Aim To evaluate the effectiveness of early ambulation on postoperative recovery among cesarean mothers. Methods Nonprobability purposive sampling technique was used to select 60 cesarean mothers, with 30 samples in each of the experimental and control group. Mothers in the intervention group received bed exercises by the investigator such as flexion and extension of the extremities, upper limb exercises, lower limb exercise, turning the patient, sitting with dangling the feet, and deep breathing exercises which was initiated at 10 hours of cesarean section followed by standing and walking at 12 hours of cesarean section for twice a day, whereas the control group received routine treatment as per the hospital protocol. Demographic proforma was used to assess the demographic characteristics, and structured postoperative recovery assessment tool was used to assess four major components such as pain, breast feeding, postnatal changes, and activity of daily living. The obtained data were analyzed using descriptive and inferential statistics. Statistical Analysis Significant difference in the postoperative recovery score was calculated by using RM-ANOVA and independent t -test and the association of postoperative recovery score with selected demographic variables done by chi-square test. Results The majority of mothers in intervention (66.7%) and control group (63.3%) were 24 to 29 years old and had secondary education (60% each). There was significant difference in breast feeding ( p = 0.001), involution of uterus ( p = 0.047), amount of lochia ( p = 0.027), and activity of daily living in the intervention group ( p < 0.05) compared with the control group. Conclusion Early ambulation improves the postoperative recovery and helps to achieve a good sense of well-being.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"551 - 556"},"PeriodicalIF":0.3,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47585980","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}
Raveena Prasad, V. Bhat, Rajeshwary Aroor, Kishan Prasad Hosapatna Laxminarayana
Abstract Sarcomatoid squamous cell carcinoma is a rare variant of laryngeal carcinoma, which comprises 1.3% of all laryngeal malignancies. It is mainly seen in elderly individuals, with smoking and alcohol being common risk factors. The tumor is most common on true vocal cords; hence, patients especially present with dysphonia. We present a case of an elderly male patient who presented with dysphonia due to a vocal cord lesion. During microlaryngoscopy, a firm, exophytic lesion with a narrow stalk was attached to the anterior one-third of the right vocal cord, excised, and sent for histopathology. Histopathology was suggestive of sarcomatoid squamous cell carcinoma. The patient was successfully treated with radiotherapy. We conclude that benign-appearing laryngeal lesions need to be evaluated and histopathological examination to be performed so that rare entities such as sarcomatoid carcinoma, which mimics benign lesions, can be managed appropriately.
{"title":"Sarcomatoid Squamous Cell Carcinoma of Vocal Cord: An Uncommon Malignancy","authors":"Raveena Prasad, V. Bhat, Rajeshwary Aroor, Kishan Prasad Hosapatna Laxminarayana","doi":"10.1055/s-0042-1760440","DOIUrl":"https://doi.org/10.1055/s-0042-1760440","url":null,"abstract":"Abstract Sarcomatoid squamous cell carcinoma is a rare variant of laryngeal carcinoma, which comprises 1.3% of all laryngeal malignancies. It is mainly seen in elderly individuals, with smoking and alcohol being common risk factors. The tumor is most common on true vocal cords; hence, patients especially present with dysphonia. We present a case of an elderly male patient who presented with dysphonia due to a vocal cord lesion. During microlaryngoscopy, a firm, exophytic lesion with a narrow stalk was attached to the anterior one-third of the right vocal cord, excised, and sent for histopathology. Histopathology was suggestive of sarcomatoid squamous cell carcinoma. The patient was successfully treated with radiotherapy. We conclude that benign-appearing laryngeal lesions need to be evaluated and histopathological examination to be performed so that rare entities such as sarcomatoid carcinoma, which mimics benign lesions, can be managed appropriately.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"587 - 590"},"PeriodicalIF":0.3,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46123931","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}
S. Dwivedi, Kean Anthony Daniel Francis, Anurag Sharma
Abstract Background Gut health is directly proportional to an organism's fitness. Our recent study showed a functional link between oxidative stress and heat shock protein 27 (Hsp27, a stress protein) in the Drosophila larval gut, which coordinates the nonylphenol (an endocrine disruptor) allied sub-cellular and developmental adversities. Objective In continuation with the prior study, the present study aimed to explore the association of Hsp27 with locomotory and survival against nonylphenol-induced toxicity in the Drosophila gut. Methods and Methodology The freshly emerged adult flies were exposed to nonylphenol (5.0 µg/mL) for 10 to 40 days, and their locomotory performance (climbing activity) and survivability were assessed. ANOVA was used to evaluate the statistical significance of the mean values in control and treated flies. Results Nonylphenol exposure markedly influenced locomotory activity and survivability after 30 to 40 days. For instance, ∼76% (40 days) declined locomotor behavior, and ∼35% (40 days) reduced survivability was observed. While the overexpression of Hsp27 in the organism's gut showed improvement in locomotory performance and survivability after 30 to 40 days. No significant alteration in locomotory performance and survivability was observed after 10 to 20 days of nonylphenol exposure. Conclusion The present study illustrates that Hsp27 overexpression in the Drosophila gut improves the locomotory performance and survivability in the nonylphenol exposed Drosophila . This also indicates the possible connection between the gut and organismal fitness.
{"title":"Protective Role of Hsp27 in the Nonylphenol-Induced Locomotory and Longevity Toxicity","authors":"S. Dwivedi, Kean Anthony Daniel Francis, Anurag Sharma","doi":"10.1055/s-0043-1761213","DOIUrl":"https://doi.org/10.1055/s-0043-1761213","url":null,"abstract":"Abstract Background Gut health is directly proportional to an organism's fitness. Our recent study showed a functional link between oxidative stress and heat shock protein 27 (Hsp27, a stress protein) in the Drosophila larval gut, which coordinates the nonylphenol (an endocrine disruptor) allied sub-cellular and developmental adversities. Objective In continuation with the prior study, the present study aimed to explore the association of Hsp27 with locomotory and survival against nonylphenol-induced toxicity in the Drosophila gut. Methods and Methodology The freshly emerged adult flies were exposed to nonylphenol (5.0 µg/mL) for 10 to 40 days, and their locomotory performance (climbing activity) and survivability were assessed. ANOVA was used to evaluate the statistical significance of the mean values in control and treated flies. Results Nonylphenol exposure markedly influenced locomotory activity and survivability after 30 to 40 days. For instance, ∼76% (40 days) declined locomotor behavior, and ∼35% (40 days) reduced survivability was observed. While the overexpression of Hsp27 in the organism's gut showed improvement in locomotory performance and survivability after 30 to 40 days. No significant alteration in locomotory performance and survivability was observed after 10 to 20 days of nonylphenol exposure. Conclusion The present study illustrates that Hsp27 overexpression in the Drosophila gut improves the locomotory performance and survivability in the nonylphenol exposed Drosophila . This also indicates the possible connection between the gut and organismal fitness.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"557 - 562"},"PeriodicalIF":0.3,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43391005","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}
Susamma Varughese, T. Rajeev, Devina E. Rodrigues, Suresh Sucharitha
Abstract Background Nocturia has high impact on quality of life (QoL) based on varying geographical and cultural factors. Speculating this, nocturia-related QoL (NRQoL) assessment scale was developed precisely, appropriate to the Indian context. Objective The current study aimed to develop and validate an NRQoL assessment scale for Indian adults. Methods An exploratory descriptive design was performed among 420 cases and 206 controls aged 35 to 65 years from two selected tertiary hospitals in Mangaluru, Karnataka, India. The NRQoL assessment scale was formulated through the following phases: review of literature, evaluation by experts, and pretesting. Exploratory factor analysis (EFA) was performed to reduce the number of items and to define domains. Reliability, construct validity, discriminant validity, and convergent validity of the scale were calculated. Results EFA resulted in the removal of seven items from a 36-item instrument, resulting NRQoL assessment scale into six domains as follows: (1) functional, (2) sleep, (3) emotional, (4) physical, (5) social and family, and (6) spiritual. The findings from the tertiary hospitals study confirmed that the scale was valid and reliable to measure NRQoL among adults. Conclusion The NRQoL assessment scale is a new, valid, and reliable instrument that is well-understood by adults and can be answered quickly. It is a useful new tool that can be translated and tested in other cultures and languages.
{"title":"Development and Validation of Nocturia-Related Quality of Life Assessment Scale among Adults","authors":"Susamma Varughese, T. Rajeev, Devina E. Rodrigues, Suresh Sucharitha","doi":"10.1055/s-0042-1749378","DOIUrl":"https://doi.org/10.1055/s-0042-1749378","url":null,"abstract":"Abstract Background Nocturia has high impact on quality of life (QoL) based on varying geographical and cultural factors. Speculating this, nocturia-related QoL (NRQoL) assessment scale was developed precisely, appropriate to the Indian context. Objective The current study aimed to develop and validate an NRQoL assessment scale for Indian adults. Methods An exploratory descriptive design was performed among 420 cases and 206 controls aged 35 to 65 years from two selected tertiary hospitals in Mangaluru, Karnataka, India. The NRQoL assessment scale was formulated through the following phases: review of literature, evaluation by experts, and pretesting. Exploratory factor analysis (EFA) was performed to reduce the number of items and to define domains. Reliability, construct validity, discriminant validity, and convergent validity of the scale were calculated. Results EFA resulted in the removal of seven items from a 36-item instrument, resulting NRQoL assessment scale into six domains as follows: (1) functional, (2) sleep, (3) emotional, (4) physical, (5) social and family, and (6) spiritual. The findings from the tertiary hospitals study confirmed that the scale was valid and reliable to measure NRQoL among adults. Conclusion The NRQoL assessment scale is a new, valid, and reliable instrument that is well-understood by adults and can be answered quickly. It is a useful new tool that can be translated and tested in other cultures and languages.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"469 - 478"},"PeriodicalIF":0.3,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47213421","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}
Abstract Background Factors causing postoperative discomfort after laparotomy are numerous and must be explored in depth. The postoperative distress may significantly affect the patient's state of well-being. Hence, the present study aims to assess the factors contributing to discomfort after laparotomy. Aim The aim was to assess and compare the discomfort between open and laparoscopic abdominal surgery. Objectives of the Study 1. To analyze the causes of patient's discomfort after abdominal surgery. 2. To compare the discomfort between open and laparoscopic abdominal surgery. 3. To determine the association between pain and selected variables among open and laparoscopic abdominal surgery. Materials and Methods An exploratory approach with a prospective observational design was adopted for this study. Using the purposive sampling technique, 100 patients were selected to open and 100 to laparoscopic abdominal surgery groups. Data were collected using demographic and clinical proforma and standardized postoperative discomfort inventory 6 and 24 hours after the surgery. The assessment focused on the study variables such as symptoms after the surgery and the factors contributing to the postoperative discomfort. Statistical Analysis The collected data were analyzed using descriptive and inferential statistics using the SPSS software version 20. Results Among 200 participants, most of the open (68%) and laparoscopic abdominal surgeries (42%) belong to 25 to 35 years of age. Also, 54% and 13% were diabetic in open and laparoscopic abdominal surgery groups, respectively. Most samples (56% in open and 68% in laparoscopic surgery) stayed 5 and 10 hours in postoperative ICU. In open and laparoscopic abdominal surgeries, pain is the primary (100%) cause of postoperative discomfort after 6 hours of surgery. Movement restriction is also the reason for significant discomfort both in open (98%) and laparoscopic (100%) abdominal surgeries. In contrast, pain (99% and 100%), movement restriction (92% and 95%), and abdominal distention (61% and 34%) were the major problems contributing to the patient's discomfort after 24 hours of both open and laparoscopic surgeries too. There was a significant difference in causes of patient discomfort between open and laparoscopic abdominal surgery after 6 hours ( P < 0.05), except for discomfort related to IV drip ( P = 0.852), constipation ( P = 0.2), and chills ( P = 0.6). Conclusion Even though pain is the major distressing factor both in open and laparoscopic surgeries, the current study highlights a few other factors that affect postoperative recovery. Nurses' attention to such distressing factors will fasten patients' recovery and quality of life after abdominal surgery.
{"title":"Postoperative Discomfort Among Laparotomy Patients from a Selected Hospital at Mangaluru: An Observational Study","authors":"S. Latha, Neetha Kamath, Gincy Joseph","doi":"10.1055/s-0042-1760234","DOIUrl":"https://doi.org/10.1055/s-0042-1760234","url":null,"abstract":"Abstract Background Factors causing postoperative discomfort after laparotomy are numerous and must be explored in depth. The postoperative distress may significantly affect the patient's state of well-being. Hence, the present study aims to assess the factors contributing to discomfort after laparotomy. Aim The aim was to assess and compare the discomfort between open and laparoscopic abdominal surgery. Objectives of the Study 1. To analyze the causes of patient's discomfort after abdominal surgery. 2. To compare the discomfort between open and laparoscopic abdominal surgery. 3. To determine the association between pain and selected variables among open and laparoscopic abdominal surgery. Materials and Methods An exploratory approach with a prospective observational design was adopted for this study. Using the purposive sampling technique, 100 patients were selected to open and 100 to laparoscopic abdominal surgery groups. Data were collected using demographic and clinical proforma and standardized postoperative discomfort inventory 6 and 24 hours after the surgery. The assessment focused on the study variables such as symptoms after the surgery and the factors contributing to the postoperative discomfort. Statistical Analysis The collected data were analyzed using descriptive and inferential statistics using the SPSS software version 20. Results Among 200 participants, most of the open (68%) and laparoscopic abdominal surgeries (42%) belong to 25 to 35 years of age. Also, 54% and 13% were diabetic in open and laparoscopic abdominal surgery groups, respectively. Most samples (56% in open and 68% in laparoscopic surgery) stayed 5 and 10 hours in postoperative ICU. In open and laparoscopic abdominal surgeries, pain is the primary (100%) cause of postoperative discomfort after 6 hours of surgery. Movement restriction is also the reason for significant discomfort both in open (98%) and laparoscopic (100%) abdominal surgeries. In contrast, pain (99% and 100%), movement restriction (92% and 95%), and abdominal distention (61% and 34%) were the major problems contributing to the patient's discomfort after 24 hours of both open and laparoscopic surgeries too. There was a significant difference in causes of patient discomfort between open and laparoscopic abdominal surgery after 6 hours ( P < 0.05), except for discomfort related to IV drip ( P = 0.852), constipation ( P = 0.2), and chills ( P = 0.6). Conclusion Even though pain is the major distressing factor both in open and laparoscopic surgeries, the current study highlights a few other factors that affect postoperative recovery. Nurses' attention to such distressing factors will fasten patients' recovery and quality of life after abdominal surgery.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"509 - 517"},"PeriodicalIF":0.3,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46392595","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}
Sharanya Kushalan, Anusha Kashyap, Shaiesh Morajkar, S. Hegde
Abstract Water is the most essential substance that supports life on earth. Animals and plants require water for their survival. Since water is being lost or used by our body, it is essential to replace it constantly. Humans need clean, potable water for consumption and to meet their daily hygiene needs. However, increased anthropogenic activities have caused a drastic increase in heavy metals in fresh waters. Heavy metals interfere with the normal physiology of the human body. It binds to cellular components, leading to dysfunction of the metabolic processes in our body. This study was undertaken to study the geospatial distribution of selected heavy metals in open-well waters within Mangalore City Corporation limits. Mangalore is perched strategically on the path of rapid development, heading toward becoming a smart city in India. Water samples were collected from all 60 wards in the jurisdiction of Mangalore City Corporation. The fluoride concentration was estimated using the spectrophotometric method using the Sodium 2-(parasulfophenylazo)-1,8-dihydroxy3,6-naphthalene disulfonate (SPADNS) reagent. Similarly, iron was estimated using the phenanthroline reagent. The findings report that the pH of the samples was acidic in 20 wards. Panambur, Kunjathbail North, Mannagudda, Court and Cantonment water was colored. Kunjathbail (North), Kunjathbail (South), Kambala, Kadri North, Bendoor, Bolar, Mannagudda, and Markada, showed high turbidity levels. The fluoride concentration in the samples collected from 60 wards of Mangalore city was less than 1.5 ppm, which is the permissible limit by the World Health Organization. Iron is within the permissible limit except for the wards Court and Boloor, which showed an iron concentration of 0.4 ppm and 3.08 ppm, respectively. However, arsenic was not detected in any of the 180 samples collected from the 60 wards of Mangalore City Corporation.
{"title":"Geospatial Distribution of Fluoride and Iron in Natural Water Sources in Mangalore City","authors":"Sharanya Kushalan, Anusha Kashyap, Shaiesh Morajkar, S. Hegde","doi":"10.1055/s-0042-1760322","DOIUrl":"https://doi.org/10.1055/s-0042-1760322","url":null,"abstract":"Abstract Water is the most essential substance that supports life on earth. Animals and plants require water for their survival. Since water is being lost or used by our body, it is essential to replace it constantly. Humans need clean, potable water for consumption and to meet their daily hygiene needs. However, increased anthropogenic activities have caused a drastic increase in heavy metals in fresh waters. Heavy metals interfere with the normal physiology of the human body. It binds to cellular components, leading to dysfunction of the metabolic processes in our body. This study was undertaken to study the geospatial distribution of selected heavy metals in open-well waters within Mangalore City Corporation limits. Mangalore is perched strategically on the path of rapid development, heading toward becoming a smart city in India. Water samples were collected from all 60 wards in the jurisdiction of Mangalore City Corporation. The fluoride concentration was estimated using the spectrophotometric method using the Sodium 2-(parasulfophenylazo)-1,8-dihydroxy3,6-naphthalene disulfonate (SPADNS) reagent. Similarly, iron was estimated using the phenanthroline reagent. The findings report that the pH of the samples was acidic in 20 wards. Panambur, Kunjathbail North, Mannagudda, Court and Cantonment water was colored. Kunjathbail (North), Kunjathbail (South), Kambala, Kadri North, Bendoor, Bolar, Mannagudda, and Markada, showed high turbidity levels. The fluoride concentration in the samples collected from 60 wards of Mangalore city was less than 1.5 ppm, which is the permissible limit by the World Health Organization. Iron is within the permissible limit except for the wards Court and Boloor, which showed an iron concentration of 0.4 ppm and 3.08 ppm, respectively. However, arsenic was not detected in any of the 180 samples collected from the 60 wards of Mangalore City Corporation.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":"13 1","pages":"525 - 534"},"PeriodicalIF":0.3,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46656797","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}
Anurag S. Kuchulakanti, Raghav Sharma, Basavaraj Utagi
Abstract Context Subclinical hypothyroidism (SCH) has been implicated in left ventricular diastolic dysfunction (LVDD). Aims To study the association between SCH and LVDD. Objectives To analyze the association between SCH and LVDD. To correlate the amount of LVDD with the serum thyroid-stimulating hormone (TSH) levels. Settings and Design Single-center case–control study. Methods and Material A case–control study was conducted between January 2020 and June 2021. A total of 36 cases of SCH were enrolled in the study and 36 age- and gender-matched euthyroid controls were included. Each individual's LV diastolic functioning was assessed by 2D echocardiography. LVDD was graded and compared between cases and controls. Statistical Analysis Used The sample size was calculated to be 72 based on previous studies. Statistical analysis was performed using the IBM SPSS software version 20. A p -value of less than 0.05 was considered significant. Results SCH was more commonly seen among females (75%) as compared with males (25%). Among cases, a majority of them (75%) had grade 1 SCH (i.e., TSH < 10 mU/L) and 25% of them had grade 2 SCH (i.e., TSH ≥ 10 mU/L). Among all the parameters assessed for LV diastolic function, the isovolumetric relaxation time and septal E/e' ratio was found to be significantly higher in cases than in controls and mitral E wave deceleration time (DT) significantly lower in cases. A statistically significant majority (72.2%) of the patients with SCH had some form of LVDD as compared with controls (30.5%) Conclusions Walk-in outpatient department patients who opt for health check-up packages should be screened for SCH. SCH is statistically significantly associated with higher grades of LVDD as compared with age- and gender-matched euthyroid controls.
{"title":"Left Ventricular Diastolic Dysfunction in Patients with Subclinical Hypothyroidism: A Single South Indian Tertiary Care Centre Study","authors":"Anurag S. Kuchulakanti, Raghav Sharma, Basavaraj Utagi","doi":"10.1055/s-0042-1760089","DOIUrl":"https://doi.org/10.1055/s-0042-1760089","url":null,"abstract":"Abstract Context Subclinical hypothyroidism (SCH) has been implicated in left ventricular diastolic dysfunction (LVDD). Aims To study the association between SCH and LVDD. Objectives To analyze the association between SCH and LVDD. To correlate the amount of LVDD with the serum thyroid-stimulating hormone (TSH) levels. Settings and Design Single-center case–control study. Methods and Material A case–control study was conducted between January 2020 and June 2021. A total of 36 cases of SCH were enrolled in the study and 36 age- and gender-matched euthyroid controls were included. Each individual's LV diastolic functioning was assessed by 2D echocardiography. LVDD was graded and compared between cases and controls. Statistical Analysis Used The sample size was calculated to be 72 based on previous studies. Statistical analysis was performed using the IBM SPSS software version 20. A p -value of less than 0.05 was considered significant. Results SCH was more commonly seen among females (75%) as compared with males (25%). Among cases, a majority of them (75%) had grade 1 SCH (i.e., TSH < 10 mU/L) and 25% of them had grade 2 SCH (i.e., TSH ≥ 10 mU/L). Among all the parameters assessed for LV diastolic function, the isovolumetric relaxation time and septal E/e' ratio was found to be significantly higher in cases than in controls and mitral E wave deceleration time (DT) significantly lower in cases. A statistically significant majority (72.2%) of the patients with SCH had some form of LVDD as compared with controls (30.5%) Conclusions Walk-in outpatient department patients who opt for health check-up packages should be screened for SCH. SCH is statistically significantly associated with higher grades of LVDD as compared with age- and gender-matched euthyroid controls.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49502405","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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