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Future doctor's perspective of saving lives through blood donation: A cross-sectional study to assess knowledge, attitude, and blood donation practice among 2nd year medical undergraduate students 未来医生通过献血拯救生命的观点:一项评估医学本科二年级学生献血知识、态度和行为的横断面研究
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 DOI: 10.4103/jmms.jmms_104_22
Ashwini Ratnakar, Manasi Gosavi, P. Bhat, Ramesh Chavan
Background: The requirement of blood and its components has always been on a rise, and meeting this growing demand can only be assured through the development of newer encouragement strategies for the recruitment and retention of more healthy voluntary young donors. Medical undergraduate students with an appropriate knowledge and a positive attitude can form an important part of this pool as well as help encourage others for the same. Materials and Methods: A questionnaire was provided to all 2nd year MBBS students who were posted to the Department of Pathology, KAHER's J. N. Medical College, Belagavi, Karnataka, and willing to be a part of this study. Responses of the questionnaire were recorded and quantitative evaluation of the data was done using software Epi Info™ 7.2.2.6. Results: A total of 280 undergraduate MBBS students participated in the study. Knowledge: 88.2% and 86.1% of the students knew the correct donor selection criteria for minimum age and hemoglobin level, respectively. Practice: Only 21.1% of the students had donated blood before. Attitude: 96.1% favored voluntary donation. 95% were willing to donate blood in the future with 82.5% willing to encourage others to do the same. Conclusion: Medical students have a good knowledge and positive attitude toward blood donation, but the practice of the same was very poor. Hence, there is a need to educate and approach these students to create an awareness regarding the importance of blood donation as well as involve them in voluntary blood donation.
背景:对血液及其成分的需求一直在上升,只有制定新的鼓励战略,招募和留住更健康的自愿年轻献血者,才能确保满足这一日益增长的需求。具有适当知识和积极态度的医学本科生可以成为这一人才库的重要组成部分,并有助于鼓励其他人也这样做。材料和方法:向所有被派往卡纳塔克邦Belagavi KAHER’s J.N.医学院病理学系并愿意参与本研究的MBBS二年级学生提供问卷调查。记录问卷的回复,并使用Epi-Info软件对数据进行定量评估™ 7.2.2.6.结果:共有280名MBBS本科生参与了这项研究。知识:88.2%和86.1%的学生分别知道最低年龄和血红蛋白水平的正确捐献者选择标准。实践:只有21.1%的学生曾经献血。态度:96.1%的人赞成自愿捐款。95%的人愿意在未来献血,82.5%的人愿意鼓励其他人也这样做。结论:医学生对献血有着良好的认识和积极的态度,但献血实践却很差。因此,有必要教育和接触这些学生,让他们意识到献血的重要性,并让他们参与自愿献血。
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引用次数: 0
Temporal lobe abscess – as a result of COVID pandemic 颞叶脓肿——由新冠肺炎疫情引起
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 DOI: 10.4103/jmms.jmms_103_22
Rahul Naga, T. Bedi
Complications of chronic otitis media have reduced substantially in the postantibiotic era. The complications are described as being intracranial and extracranial. Intracranial complications are rarer epidemiologically; however, the recent COVID pandemic has led to widespread delay among the general populace from seeking therapy. We present a case where a 22-year-old male failed to seek timely intervention for otorrhea and developed a temporal lobe abscess. The patient was subsequently managed through an intact canal wall mastoidectomy and tympanoplasty with drainage of pus through the transmastoid approach. On follow-up, there was an adequate resolution of the abscess with a well-healed tympanic cavity.
在后抗生素时代,慢性中耳炎的并发症已经大大减少。并发症被描述为颅内和颅外。颅内并发症在流行病学上更为罕见;然而,最近的新冠肺炎疫情导致普通民众普遍推迟寻求治疗。我们报告了一个病例,一名22岁的男性未能及时寻求耳漏干预,并发展为颞叶脓肿。患者随后接受了完整的管壁乳突切除术和鼓室成形术,并通过乳突入路引流脓液。在随访中,脓肿得到了充分的解决,鼓室愈合良好。
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引用次数: 0
Comparison of prevalence of metabolic syndrome in submariners with shore-based naval personnel 潜艇与岸基海军人员代谢综合征患病率的比较
Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_47_23
DurgeshKumar Chaudhary, CS Mohanty, Chaitanya Kodange, Sourabh Bhutani, Satyasom Sarkar, GR Rajput
Introduction: Metabolic syndrome refers to a clustering of metabolic risk factors including central obesity, glucose intolerance, low high-density lipoprotein (HDL) cholesterol, high triglycerides, and hypertension. In the naval setting, some occupational characteristics of submariners such as long work hours, lack of physical activity, disturbed circadian rhythm, and stress have a negative influence on the health status of individuals. It is worth speculating that the occupational factors might also influence the development of clinical conditions related to a greater cardiovascular risk such as metabolic syndrome. Materials and Methods: A cross-sectional study was conducted over a period of 2 years. Submariners posted onboard an operational submarine for the past 1 year in the age group 18–45 years and willing to participate in the study were included in the study. Shore-based personnel in the similar age group posted in shore billet for at least 1 year were taken as control. Universal sampling technique was used for selection of subjects. A total of 250 submariners and 250 age-matched shore-based naval personnel were enrolled in the study. The study group was assessed for prevalence and risk factors of metabolic syndrome using national cholesterol education program adult treatment panel III criteria. Results: The mean age of submariners and shore-based personnel was 29.7 ± 4.9 years and 29.3 ± 5.3 years, respectively (P = 0.77). 20.8% of the submariners had a body mass index (BMI) more than 25 kg/m2 compared to 16.8% in the shore-based group. BMI was higher for the submariners compared to shore-based personnel but the difference was not statistically significant (P = 0.097). The prevalence of systolic and diastolic hypertension in submariners was 16.8%–15.2% compared to 11.6% and 10.4% in shore-based group (P > 0.05). Fasting blood sugar levels >100 mg/dl was observed in 14% submariners compared to 8.4% shore-based personnel (P > 0.05). Triglyceride levels of >150 mg/dl was observed in 22.4% submariners compared to 16% shore-based personnel (P = 0.085). HDL level of <40 mg/dl was observed in 13.6% submariners compared to 8.8% in shore-based personnel (P = 0.12). The prevalence of risk factors such as alcohol consumption (34% vs. 26%) and smoking (3.6% vs. 1.1%) and low physical activity (30% vs. 21.2%) were higher in the submariners as compared to the shore-based personnel though the difference was not statistically significant. The prevalence of metabolic syndrome was 9.2% in submariners compared to 6.4% in shore-based personnel. The difference was not statistically significant (P = 0.31). The overall prevalence of metabolic syndrome among submariners was higher than shore-based personnel but it was less compared to studies conducted on the Indian general population in urban areas. Conclusion: There is a need for preventive and/or therapeutic programs focused on cardiovascular and metabolic health for submariners.
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引用次数: 0
A retrospective analysis of 5-year data of training-related injuries in an institutional setting 对某机构5年训练相关损伤数据的回顾性分析
Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_196_22
ArunKumar Yadav, AmitKumar Singh, Shailendra Kumar, Manoj Yadav, Narendra Yadav
Introduction Musculoskeletal injuries sustained during training are not only the major cause of loss of training hours but also lead to attrition of precious workforce. Detailed knowledge of the pattern, type, mechanism of musculoskeletal injury, etc., helps in designing prevention strategies. Hence, the study was conducted to study the epidemiology of injuries sustained by trainees while undergoing training at an institutional training. Materials and Methods The study is a record-based observational study. The data relating to training-related injuries sustained over 5 years (April 2014 to March 2019) were obtained from the record maintained in the medical facility of the training institute in India. The data were extracted using a case record form. The injury data (date of injury, unique identification number, trainee name, diagnosis, and type of treatment taken) were obtained from the medical record register maintained in the medical facility of the training institute. Anthropometric data (height and weight) were obtained from the record of initial medical screening done routinely on the day of joining the training institute. The descriptive analysis of the collected data was done. Results A total of (n = 2946) trainees comprising 2584 male trainees and 362 female trainees underwent training during the period of the study. The total number of visits to the medical facility related to injury during the 5-year study period was 13,579. Most of the injuries are occurring in the 5th–20th week in the first half of training period and 29–44 week in the second half of training period. Among male trainees, the lower limb injuries alone accounted for 72.8% of total injuries, followed by trunk and back injuries (11.97%) and upper limb injuries (11.95%). Among female trainees although lower limb injuries still account for the majority (79.66%) of injuries, among them, hip and groin injuries accounted for the highest percentage of injuries as compared to leg and knee injuries in male trainees. The twisting injuries of the knee, stress fractures, and acute traumatic fractures accounted for the majority (78.34%) of the injuries leading to repetition of the training by 24 weeks. The twisting injuries of the knee, acute traumatic fractures, traumatic shoulder instability, and head injuries accounted for the majority (83.2%) of the injuries leading to dropout from training institution (withdrawal). Conclusion The analysis related to the injuries sustained by trainees during the 5 years found out the timings, severity, and location of injuries. The findings may be important for the formulation of preventive program in an institutional training institute.
在训练过程中肌肉骨骼损伤不仅是造成训练时间损失的主要原因,而且还会导致宝贵劳动力的消耗。详细了解肌肉骨骼损伤的模式、类型、机制等,有助于设计预防策略。因此,本研究旨在研究受训者在接受机构培训时受伤的流行病学。材料与方法本研究是一项基于记录的观察性研究。5年(2014年4月至2019年3月)期间与训练有关的受伤数据来自印度培训机构医疗设施保存的记录。使用病例记录表格提取数据。受伤数据(受伤日期、唯一识别号码、受训者姓名、诊断和所采取的治疗类型)是从培训机构医疗设施中保存的病历登记册中获得的。人体测量数据(身高和体重)是从加入培训机构当天例行进行的初步医疗检查记录中获得的。对收集到的数据进行描述性分析。结果在研究期间,共有2946名受训人员接受了培训,其中男性受训人员2584人,女性受训人员362人。在5年研究期间,因受伤到医疗设施就诊的总人数为13 579人。大部分损伤发生在训练前半期的第5 - 20周和训练后半期的第29-44周。在男性学员中,仅下肢损伤占总损伤的72.8%,其次是躯干和背部损伤(11.97%)和上肢损伤(11.95%)。在女性受训者中,尽管下肢损伤仍占多数(79.66%),但髋部和腹股沟损伤所占比例高于男性受训者的腿和膝盖损伤。膝关节扭转伤、应力性骨折和急性外伤性骨折在导致24周重复训练的损伤中占多数(78.34%)。膝关节扭转伤、急性外伤性骨折、外伤性肩关节不稳和头部损伤是导致退出训练机构(退出)的主要原因(83.2%)。结论通过对学员5年受伤情况的分析,了解了受伤的时间、严重程度和部位。研究结果可能对机构培训机构制定预防方案具有重要意义。
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引用次数: 0
Navigating the labyrinth of genetic testing 在基因检测的迷宫中穿行
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_166_22
D. Gulati, M. Gopinath, A. Singhal
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引用次数: 0
Fast-food culture – Prevalence, pattern, and preference trends and its association with body mass index of medical students 快餐文化——医学生的患病率、模式和偏好趋势及其与体重指数的关系
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_36_22
K. Pushkar, S. Kaushik, P. Nagarjuna, Gautam Mukherjee, Prabhakar Teli, A. Yadav
Background: Fast-food culture is an uprising trend among the younger age groups. Stressful life due to increased study load, staying away from home, peculiar working hours, etc., negatively influences the food choices of medical students. Hence, this study was conducted to describe the prevalence, pattern, and preferences of fast-food consumption and also to determine the relationship of frequency of fast food with body mass index (BMI) of students of a medical college in Western Maharashtra. Methods: A cross-sectional study was done among 398 students of a medical college in Pune for 6 months. The data collection was done using a self-administered pretested structured questionnaire and analyzed using Microsoft Excel and SPSS version 20 software. Results: Three hundred and ninety-eight medical students responded. We found a 100% prevalence of fast-food consumption with different frequencies. 13.8% of the students were found to be overweight. Pizza was the most frequently consumed fast food. The taste factor was the most common reason to consume fast food among both sexes. The majority of the study participants (98.5%) were aware that fast foods are hazardous to health. A statistically significant association was found between the frequency of consumption of fast food with the type of diet (P = 0.008) and BMI (P = 0.023). Conclusion: High prevalence and preference for fast-food consumption can result in various noncommunicable diseases among students of the medical profession and is a major concern. Thus, there is a need for educating the students regarding nutritional information and counseling to bridge the gap between their knowledge and practice about healthy eating behavior.
背景:快餐文化在年轻群体中呈上升趋势。由于学习负荷增加、不在家、特殊的工作时间等原因,生活压力对医学生的食物选择产生了负面影响。因此,本研究旨在描述快餐消费的流行率、模式和偏好,并确定马哈拉施特拉邦西部一所医学院学生的快餐频率与体重指数(BMI)的关系。方法:对浦那一所医学院的398名学生进行了为期6个月的横断面研究。数据收集采用自我管理的预测试结构化问卷,并使用Microsoft Excel和SPSS 20版软件进行分析。结果:398名医科学生做出了回应。我们发现,不同频率的快餐消费率为100%。13.8%的学生超重。披萨是最常吃的快餐。口味因素是男女食用快餐最常见的原因。大多数研究参与者(98.5%)都知道快餐对健康有害。快餐消费频率与饮食类型(P=0.008)和BMI(P=0.023)之间存在统计学上显著的相关性。结论:在医学专业学生中,快餐消费的高流行率和偏好会导致各种非传染性疾病,这是一个主要问题。因此,有必要对学生进行营养信息和咨询方面的教育,以弥补他们在健康饮食行为方面的知识和实践之间的差距。
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引用次数: 1
Relevance of mesenteric lymphadenopathy in children detected on sonography 超声检查儿童肠系膜淋巴结病变的相关性
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_70_22
RanjitSingh Lahel, A. Chail
Objective: Mesenteric lymphadenitis reflects the mesenteric lymph node (MLN) response to an underlying infection of uncertain etiology, usually viral. In children, enlarged MLNs are common findings detected during abdominal ultrasound, whether done for nonspecific pain abdomen or for unrelated clinical presentations. This study was conducted to determine the significance of mesenteric lymphadenopathy in asymptomatic children as compared to those with symptoms of acute abdominal pain or chronic abdominal pain (CAP). Methodology: A prospective hospital-based study was conducted among 72 children aged between 2 and 15 years. These children were referred from the outpatient/pediatric ward department for 1 year, for evaluation by abdominal ultrasonography. Children were grouped into three categories based on their clinical presentations as asymptomatic (controls), those with CAP, and those with acute abdomen. The sonographic findings were tabulated against each, with accounting of parameters such as size, number of enlarged nodes, and site of nodes. Pearson's Chi-square test was used to analyze ordinal variables between groups. About 95% confidence interval was selected with a P = 0.05 taken as statistically significant. Results: Significant enlarged MLNs were comparable in prevalence in all groups. The incidence of significant mesenteric lymphadenopathy in the CAP group was even less than in the control group. The Chi-square statistic was 2.5612. The P = 0.633718. The result is not statistically significant at P < 0.05. This indicates that MLNs on ultrasonography have no significant association with the clinical presentation in children. Conclusion: Our study indicates that reporting of enlarged mesenteric nodes on transabdominal sonography in children is not statistically significant with the clinical symptomatology.
目的:肠系膜淋巴结炎反映了肠系膜淋巴结(MLN)对病因不确定的潜在感染(通常是病毒性感染)的反应。在儿童中,MLN增大是腹部超声检查中常见的发现,无论是针对非特异性腹部疼痛还是不相关的临床表现。本研究旨在确定无症状儿童肠系膜淋巴结病与有急性腹痛或慢性腹痛(CAP)症状儿童相比的意义。方法:对72名年龄在2至15岁之间的儿童进行了一项前瞻性的医院研究。这些儿童从门诊/儿科病房转诊1年,通过腹部超声检查进行评估。根据儿童的临床表现,将其分为三类:无症状(对照组)、CAP患者和急腹症患者。将超声检查结果与每一项对照制成表格,并考虑到大小、扩大结节数量和结节位置等参数。皮尔逊卡方检验用于分析各组之间的顺序变量。选择了大约95%的置信区间,其中P=0.05被视为具有统计学意义。结果:在所有组中,显著增大的MLN的患病率具有可比性。CAP组显著肠系膜淋巴结病的发生率甚至低于对照组。卡方统计量为2.5612。P=0.633718。结果无统计学意义(P<0.05)。这表明超声上的MLN和儿童的临床表现没有显著的相关性。结论:我们的研究表明,经腹部超声检查儿童肠系膜淋巴结肿大的报告和临床症状没有统计学意义。
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引用次数: 0
Cow dung – An unusual cause of halitosis 牛粪——引起口臭的不寻常原因
IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_103_21
Saurabh Sud, Saumya Shree, S. Bhardwaj, Urikhimbam Devi
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引用次数: 0
Knowledge, attitude, and practice of rabies postexposure prophylaxis among young doctors 年轻医生狂犬病暴露后预防的知识、态度和实践
Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_9_23
Mahesh Manthene, Rajat Shukla, Anuj Singhal, SubashChandra Shaw, Raghav Sharma, KP Soman, Aditya Singhal
Objectives: The objective of this study was to assess the knowledge, attitude, and practice (KAP) of young doctors on rabies prophylaxis and to determine the impact of the interactive lecture on the KAP of young doctors. Methods: After the formulation of the questionnaire, and review by the faculty of Medical Education, the access web link of the questionnaire was shared in What’sApp with all the young doctors of the hospital. After collecting pretest data, an interactive lecture was delivered, after the lecture, the same questionnaire was again shared, and responses were collected and analyzed. Results: All the young doctors who participated in the study acquired good KAP on rabies prophylaxis, overall 6% of doctors corrected themselves and there was an improvement in rightly answering 11 questions. Conclusion: KAP survey can be an effective tool in achieving the goal for imparting knowledge regarding effective disease prevention and management.
目的:本研究的目的是评估年轻医生对狂犬病预防的知识、态度和实践(KAP),并确定互动讲座对年轻医生KAP的影响。方法:编制问卷后,经医学教育学院审核,将问卷的访问网页链接在What’s app中共享给全院青年医生。在收集前测数据后,进行互动讲座,讲座结束后,再次分享相同的问卷,并收集和分析反馈。结果:所有参与研究的年轻医生在狂犬病预防方面均获得了良好的KAP,总体有6%的医生自我纠正,正确回答11个问题的能力有所提高。结论:KAP调查是实现有效疾病预防和管理知识传授的有效工具。
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引用次数: 0
Taylor spatial frame versus ortho SUV for correction of lower limb deformities: A comparative study Taylor空间框架与矫形SUV矫正下肢畸形的比较研究
Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.4103/jmms.jmms_130_22
Varun Vig, Manish Dhawan, Anant Sharma, Ravi Chauhan, Manish Prasad
Background: Deformity of long bones of lower limb leads to frequent gait and joint problems, in addition to the esthetic problems. Correction of such deformities proves to be a challenge due to spatial and soft-tissue considerations. Taylor Spatial Frame (TSF) and Ortho-SUV Frame (SUV) are two six axis correction devices which utilize the Ilizarov methods and allow easier correction of complex deformities. This study was performed to compare the efficacy of TSF and SUV for correction of lower limb long bone deformities. Materials and Methods: The Study was held at Sir Ganga Ram Hospital, New Delhi between January 2015 and November 2019. Twenty patients were included for each correction group. Assessment of correction was done in terms of rate and accuracy of deformity correction, lengthening index, total lengthening achieved, time in frame, assessment of ability to perform Activities of Daily Living, functional outcome using Association for the Study and Application of the Method of Ilizarov (ASAMI) score, and complications during treatment. Results: Both groups showed excellent correction of deformity in all planes and good functional outcomes. TSF group showed lesser incidence of joint stiffness as well as a shorter time in Frame. Pin site infection was the most common complication followed by major residual deformity. Conclusion: Both TSF and SUV provide excellent outcome in correction of complex spatial deformities of lower limb with high accuracy and good functional outcome. The TSF provides an advantage over SUV with reduced time in Frame, lesser joint stiffness and increased patient compatibility due to smaller frame size and reduced bulk as compared to SUV.
背景:下肢长骨畸形除了导致审美问题外,还会导致步态和关节问题。由于空间和软组织的考虑,这种畸形的矫正被证明是一个挑战。Taylor Spatial Frame (TSF)和Ortho-SUV Frame (SUV)是两个六轴校正装置,利用Ilizarov方法,可以更容易地校正复杂的变形。本研究比较了TSF和SUV在下肢长骨畸形矫正中的疗效。材料和方法:该研究于2015年1月至2019年11月在新德里Sir Ganga Ram医院进行。每个矫正组各20例。根据畸形矫正率和准确性、延长指数、实现的总延长、框架内时间、日常生活活动能力评估、使用Ilizarov方法研究和应用协会(ASAMI)评分的功能结局以及治疗期间的并发症进行矫正评估。结果:两组均表现出良好的各平面畸形矫正效果和良好的功能预后。TSF组关节刚度发生率较低,在Frame中的停留时间较短。针部感染是最常见的并发症,其次是主要的残余畸形。结论:TSF和SUV对下肢复杂空间畸形的矫正效果良好,准确度高,功能预后良好。与SUV相比,TSF具有更短的框架时间、更小的关节刚度和更小的框架尺寸和更小的体积,从而提高了患者的兼容性。
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引用次数: 0
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Journal of Marine Medical Society
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