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Psychocognitive functions among breast cancer survivors: A randomized controlled trial 癌症幸存者的心理认知功能:一项随机对照试验
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.4103/jncd.jncd_6_22
Deeksha Sharma, B. Yadav, M. Dutta, S. Kaur, K. Kumar, D. Dahiya
Purpose: Chemotherapy-related cognitive impairments (CRCIs) are one of the adverse effects of chemotherapy, so there is a need to explore alternative measures to maintain normal cognitive functions or to prevent decline in cognitive abilities. This study was conducted to assess the effectiveness of Cognitive Training Interventions Package on cognitive functions among breast cancer survivors (BCSs). Materials and Methods: A total of 59 BCSs were randomly assigned to control and intervention groups. Participants of the intervention group were provided with a Cognitive Training Interventions Package to be practiced from 1st cycle until the completion of 4th cycle of chemotherapy. Both the groups were reassessed on the 4th cycle of chemotherapy. FACT Cog Version-3, Post Graduate Institute Memory Scale (PGIMS), and trail making test were used to assess cognitive functions. Activities of daily livings (ADLs) and depression, stress, and anxiety were measured using Barthel Index Scale and Depression, Anxiety, and Stress Scale-21, respectively. Satisfaction level among participants was measured using a self-structured questionnaire. Results: The mean age was 50.82 ± 10.12 years in the control group and 50 ± 11.24 years in the intervention group. BCSs in the intervention group demonstrated a significant improvement in attention and concentration (P = 0.02); retention for similar pairs (P = 0.001); recognition (P = 0.01); and visual attention, processing speed, and executive functions (P = 0.01). Intervention group also showed a significant improvement in ADLs (P = 0.04). Overall, the participants in the experimental group were more satisfied (mean = 2.00) as compared to those in the control group (mean = 1.896), which is supported by the observed statistical significant difference in the satisfaction levels of the participants (P = 0.04). Reduction in the levels of anxiety and depression was also noticed in both the groups but it was not significant. Conclusion: Cognitive training interventions package was beneficial for BCSs with CRCI to overcome cognitive impairments.
目的:化疗相关认知障碍是化疗的不良反应之一,因此有必要探索维持正常认知功能或防止认知能力下降的替代措施。本研究旨在评估认知训练干预包对癌症幸存者认知功能的有效性。材料和方法:将59名BCS随机分为对照组和干预组。干预组的参与者获得了认知训练干预包,从第一个周期到第四个周期化疗结束。两组均在化疗第4个周期进行了重新评估。FACT Cog Version-3、研究生院记忆量表(PGIMS)和追踪测试用于评估认知功能。分别使用Barthel指数量表和抑郁、焦虑和压力量表-21测量日常生活能力(ADLs)和抑郁、压力和焦虑。参与者的满意度采用自组织问卷进行测量。结果:对照组平均年龄50.82±10.12岁,干预组平均年龄50±11.24岁。干预组的BCSs在注意力和注意力方面有显著改善(P=0.02);相似配对的保留率(P=0.001);识别率(P=0.01);以及视觉注意力、处理速度和执行功能(P=0.01)。干预组的ADL也有显著改善(P=0.04)。总体而言,与对照组(平均值1.896)相比,实验组的参与者更满意(平均值2.00),观察到的参与者满意度的统计学显著差异(P=0.04)支持了这一点。两组的焦虑和抑郁水平也有所下降,但并不显著。结论:认知训练干预包对患有CRCI的BCS克服认知障碍是有益的。
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引用次数: 0
Environmental risk factors for cardiovascular diseases using geographic information systems in an urban slum, Bengaluru 班加罗尔城市贫民窟利用地理信息系统研究心血管疾病的环境风险因素
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.4103/jncd.jncd_10_22
Deepak Srinivasan, A. Johnson, Subin Jang, S. Mathew, F. Fathima
Background: Cardiovascular disease (CVD), a growing epidemic, is influenced by various environmental factors, and the potential connection is not studied adequately. Objective: Hence, our study was aimed at assessing the environmental risk factors for CVD and assessing perceptions about the same among the adults residing in an urban slum, Bengaluru. Methods: A cross-sectional descriptive study was conducted using a validated environmental assessment tool – Environmental Profile of Community Health. It consists of two parts: (i) an assessment of the physical environment for CVD-risk behaviors and (ii) a questionnaire to collect residents' perceptions of their community's environmental risks for CVD. Results: The community had two environmental risk factors for CVD-tobacco stores and fast-food restaurants. The community had ten convenience stores, all of which sold tobacco products. Vegetables and fruits were available, and the community also had a park for recreation. We interviewed a total of four study participants with a mean age of 38.5 ± 5.4 years. All participants reported that they have seen people smoke outside public places and inside residences. They felt that society disapproved of women and children smoking while men were excluded. Study participants have reported seeing tobacco and junk food advertisements. Tobacco was easily accessible and available to all ages. Conclusions: The urban community was not CVD-friendly. Awareness regarding risk factors for CVD was good. Adequate urban planning, policy-level advocacy, and tailor-made lifestyle changes for patients are the key to preventing CVD.
背景:心血管疾病(CVD)是一种日益严重的流行病,受到各种环境因素的影响,其潜在联系尚未得到充分研究。目的:因此,我们的研究旨在评估CVD的环境风险因素,并评估居住在班加罗尔城市贫民窟的成年人对CVD的看法。方法:使用经验证的环境评估工具——社区卫生环境概况进行横断面描述性研究。它由两部分组成:(i)CVD风险行为的物理环境评估和(ii)收集居民对社区CVD环境风险的看法的问卷。结果:社区存在CVD烟草店和快餐店两个环境风险因素。这个社区有十家便利店,所有的便利店都出售烟草制品。这里有蔬菜和水果,社区还有一个娱乐公园。我们采访了四名平均年龄为38.5±5.4岁的研究参与者。所有参与者都报告说,他们看到有人在公共场所外和住宅内吸烟。他们认为社会不赞成妇女和儿童吸烟,而男人则被排斥在外。研究参与者报告说,他们看到了烟草和垃圾食品广告。烟草很容易获得,而且所有年龄段的人都可以获得。结论:城市社区对心血管疾病不友好。对心血管疾病危险因素的认识良好。充分的城市规划、政策层面的宣传和为患者量身定制的生活方式改变是预防心血管疾病的关键。
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引用次数: 0
Tobacco endgame in India 印度烟草业的终结
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.4103/jncd.jncd_25_22
S. Goel, J. Kaur, M. Arora, G. Bhatt, R. Singh, A. Jones, L. Swasticharan, Prakash C. Gupta
The epidemic of tobacco use persists as a leading risk factor for noncommunicable diseases and impoverishment worldwide. Globally, more nations are undertaking measures for moving beyond “tobacco control” to a “tobacco-free world” under the unified theme of “tobacco endgame.” This concept of endgame includes an array of measures addressing both demand side and supply-side strategies for phasing out all commercial tobacco products within a specified time period. Globally, there have been many successes from countries such as New Zealand, Australia, Scotland, Netherlands, Finland, Ireland, Canada, France, and California. The Indian subcontinent has also been stepping up to progress the endgame concept and has been displaying exemplary leadership in the tobacco control. It has several national and subnational achievements to its credit. However, the tobacco endgame requires collaboration and capacity building of several sectors and stakeholders to align their activities with the tobacco endgame goals and vision of the Government of India. Besides, acceptance of endgame as a political objective is perhaps the first requirement for tobacco endgame in addition to program and community-level strategies. The need of the hour calls for a robust unified approach that engages all the stakeholders and involves increased investment in tobacco control by the country's governments and region.
烟草使用的流行仍然是世界范围内非传染性疾病和贫困的主要风险因素。在全球范围内,越来越多的国家正在采取措施,在“烟草终局”的统一主题下,从“烟草控制”走向“无烟草世界”。这一终局概念包括一系列措施,解决需求方和供应方的战略,在特定时间内逐步淘汰所有商业烟草产品。在全球范围内,新西兰、澳大利亚、苏格兰、荷兰、芬兰、爱尔兰、加拿大、法国和加利福尼亚等国家取得了许多成功。印度次大陆也在加紧推进最后阶段的概念,并在烟草控制方面表现出了模范的领导力。它在国家和国家以下各级取得了一些成就。然而,烟草终结需要几个部门和利益攸关方的合作和能力建设,以使其活动与印度政府的烟草终结目标和愿景保持一致。此外,除了项目和社区层面的战略外,接受游戏结束作为政治目标可能是烟草游戏结束的首要要求。当前的需要要求采取强有力的统一方法,让所有利益相关者参与进来,并要求该国政府和地区增加对烟草控制的投资。
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引用次数: 0
The 2022 update of the Global Initiative for Chronic Obstructive Lung Disease guidelines for chronic obstructive pulmonary disease: Implications for primary health care 慢性阻塞性肺病全球倡议2022年更新慢性阻塞性肺病指南:对初级卫生保健的影响
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.4103/jncd.jncd_39_22
A. Aggarwal
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引用次数: 0
Primary epithelial–myoepithelial carcinoma of the lung: Reporting a rare entity at a rare location 肺原发性上皮-肌上皮癌:罕见部位罕见实体的报告
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.4103/jncd.jncd_78_20
Deepak K. Uppal, D. Khosla, D. Chatterjee, Vrinda Singla, D. Kumar, R. Madan, R. Kapoor
Epithelial–myoepithelial carcinoma (EMC) of the lung is a rare neoplasm, constituting about 0.1%–1% of all primary lung cancers. EMC usually has an indolent course with occasional distant metastasis. A 52-year-old male presented with an unresectable lesion in the upper lobe of the right lung with mediastinal lymph nodes. Bronchoscopic biopsy and detailed histopathological examination revealed an EMC of the lung. Due to advanced disease and poor performance status of the patient, he was treated with palliative radiation followed by palliative chemotherapy. However, the patient succumbed to the disease after two cycles of palliative chemotherapy. Experience with EMC of the lung is limited and optimal treatment protocols have not been defined, with current treatment mainly extrapolated from EMC of the salivary glands from the head and neck. We add another case to the limited literature of EMC of the lung.
肺上皮-肌上皮癌(EMC)是一种罕见的肿瘤,约占所有原发性肺癌的0.1%-1%。EMC通常有一个缓慢的过程,偶尔会有远处转移。一名52岁男性,右肺上叶有纵隔淋巴结,无法切除。支气管镜活检和详细的组织病理学检查显示肺部有电磁兼容性。由于患者病情晚期,表现不佳,他接受了姑息性放疗和姑息性化疗的治疗。然而,患者在两个周期的姑息性化疗后死于该疾病。肺部EMC的经验有限,最佳治疗方案尚未确定,目前的治疗主要是根据头颈部唾液腺的EMC推断的。我们在肺部EMC的有限文献中增加了另一个病例。
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引用次数: 0
Punjab substance abuse prevention model: Outcomes of key multistakeholder consultation in Punjab, India 旁遮普药物滥用预防模式:印度旁遮普主要多方利益攸关方磋商的结果
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.4103/jncd.jncd_81_21
J. Thakur, N. Jaswal
Background: Extensive work has been done in the state of Punjab regarding the treatment of substance abuse, but focus on prevention was lacking. De-addiction services are being provided in almost each and every district of Punjab. A strong prevention and control component, i.e., prevention strategy along with de-addiction services, is crucial for desired impact. An attempt was made to develop a statewide prevention strategy against substance abuse in the state of Punjab, India, on the request of the state government. Materials and Methods: The plan of the prevention model was prepared based on the situation analysis, stakeholders' workshops, and consultative meetings with various key stakeholders from the state of Punjab. Results: One in seven (~15%) people in Punjab were currently dependent on any substance, including licit and illicit. This figure, when compared in a global context was much higher than expected. Overall substance use was predominant in men and significantly more common in rural areas. The prevention strategy in Punjab named 'Punjab Substance abuse Prevention Plan (P-SAP)' will have a holistic approach focusing on health promotion and continuum of care approach (Prevention-Treatment-Rehabilitation) targeting Supply-Demand-Harm reduction Measures. It is the first of its kind of inclusive multi-sectoral model that aims to prevent substance abuse at village, block, district and state level. Implementation requires political and administrative will with participation of all political parties and key stakeholders. Life skill education should be introduced in school education and should become part of curriculum. The state should ensure the institutional framework and mechanism for their participation and adequate resources for effective implementation. Conclusion: This model should be implemented in the state and can be tried and adapted in other states of India and low- and middle-income countries.
背景:旁遮普邦在药物滥用治疗方面做了大量工作,但缺乏对预防的关注。旁遮普省几乎每个地区都在提供戒毒服务。一个强有力的预防和控制组成部分,即预防策略和戒毒服务,对于预期的影响至关重要。应印度旁遮普邦政府的要求,试图制定一项全州范围的药物滥用预防战略。材料和方法:根据形势分析、利益相关者研讨会以及与旁遮普省各主要利益相关者的协商会议,制定了预防模式计划。结果:旁遮普省七分之一(约15%)的人目前依赖任何药物,包括合法和非法药物。在全球范围内进行比较时,这一数字远高于预期。总体药物使用在男性中占主导地位,在农村地区更为常见。旁遮普省名为“旁遮普省药物滥用预防计划(P-SAP)”的预防战略将采用一种整体方法,侧重于健康促进和针对供需伤害减少措施的连续护理方法(预防-治疗-康复)。这是第一个旨在防止村庄、街区、地区和州一级药物滥用的包容性多部门模式。执行工作需要所有政党和主要利益攸关方参与的政治和行政意愿。生活技能教育应纳入学校教育,并应成为课程的一部分。国家应确保其参与的体制框架和机制以及有效实施的充足资源。结论:该模式应在该邦实施,并可在印度其他邦和中低收入国家进行尝试和调整。
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引用次数: 0
An observational study of compliance with tobacco-free school guidelines in Udupi district, Karnataka (India) 印度卡纳塔克邦Udupi地区遵守无烟学校指导方针的观察性研究
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.4103/jncd.jncd_21_22
Shalini Bassi, G. Nazar, Nishigandha Joshi, Muralidhar M. Kulkarni, V. Kamath, Rohith Bhagawath, J. Britton, M. Arora
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引用次数: 1
Productivity loss and diabetes distress among patients with type 2 diabetes seeking out patient care at a tertiary hospital in Bengaluru, South India 在南印度班加罗尔的一家三级医院寻求患者护理的2型糖尿病患者的生产力下降和糖尿病困扰
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.4103/jncd.jncd_83_21
Kavya Pinto, Sanjana Mathur, F. Fathima, B. George, S. Umesh
Background: Type 2 diabetes contributes to significant productivity losses in paid work and unpaid work. Patients with Type 2 diabetes also feel distressed due to the concerns about disease management, its emotional burden, physician-related issues, and regimen-related distress. Objective: The objective of this study is to assess the productivity loss and diabetes distress among patients with Type 2 diabetes attending the outpatient department at a tertiary care setting and the association between productivity loss and diabetes distress in the study population. Materials and Methods: A cross-sectional study was done among 121 outpatients with Type 2 diabetes at a tertiary care hospital. A semistructured interview schedule that included questions on sociodemographic profile, details about diabetes, the Institute for Medical Technology Assessment Productivity Cost Questionnaire, and Diabetes Distress Scale was administered. Results: Around half of the study participants (47.1%) reported productivity losses either in paid and/or unpaid work. The total cost of productivity loss among 121 patients over 4 weeks was calculated to be Indian National Rupees 2,526,880. Individuals with diabetes distress levels worthy of clinical attention (moderate and high levels of distress) were found to be 20.6%. Significant emotional burden was seen among 40.5% of the study participants. Of the population who had distress due to diabetes, 60% had productivity loss. Conclusion: Patients with type 2 diabetes have high productivity losses and distress due to diabetes. Patients with productivity losses have significantly higher levels of diabetic distress.
背景:2型糖尿病导致带薪工作和无薪工作的生产力显著下降。2型糖尿病患者也会因为对疾病管理、情绪负担、医生相关问题和治疗方案相关困扰的担忧而感到痛苦。目的:本研究的目的是评估在三级医疗机构门诊就诊的2型糖尿病患者的生产力损失和糖尿病困扰,以及研究人群中生产力损失与糖尿病困扰之间的关系。材料和方法:在一家三级护理医院对121名2型糖尿病门诊患者进行了横断面研究。采用半结构化访谈表,包括社会人口概况、糖尿病详细信息、医疗技术评估研究所生产力成本问卷和糖尿病痛苦量表等问题。结果:大约一半的研究参与者(47.1%)报告说,在有偿和/或无偿工作中,生产力下降。121名患者在4周内生产力损失的总成本计算为2526880印度卢比。值得临床关注的糖尿病痛苦程度(中度和高度痛苦)的个体占20.6%。40.5%的研究参与者有显著的情绪负担。在因糖尿病而痛苦的人群中,60%的人生产力下降。结论:2型糖尿病患者有较高的生产力损失和糖尿病带来的痛苦。生产力下降的患者患糖尿病的痛苦程度明显更高。
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引用次数: 0
Health and Wellness Centres as a strategic choice to manage noncommunicable diseases and universal health coverage 保健和保健中心是管理非传染性疾病和全民健康覆盖的战略选择
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.4103/jncd.jncd_41_22
Js Thakur, PAravind Gandhi, Ria Nangia
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引用次数: 0
Association between use of low-dose aspirin on hemoglobin levels and serum iron homeostasis in patients with acute coronary syndrome or ischemic stroke 急性冠脉综合征或缺血性卒中患者低剂量阿司匹林对血红蛋白水平和血清铁稳态的影响
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.4103/jncd.jncd_34_22
S. Raina, Katyayani, M. Raizada, R. Sharma, R. Yadav
{"title":"Association between use of low-dose aspirin on hemoglobin levels and serum iron homeostasis in patients with acute coronary syndrome or ischemic stroke","authors":"S. Raina, Katyayani, M. Raizada, R. Sharma, R. Yadav","doi":"10.4103/jncd.jncd_34_22","DOIUrl":"https://doi.org/10.4103/jncd.jncd_34_22","url":null,"abstract":"","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70807577","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 Noncommunicable Diseases
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