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Cerebral venous sinus thrombosis 脑静脉窦血栓形成
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_294_22
Cyril Sajan, Varunsingh Saggu, Maitri Mahant, Dilsar Gohel, Foram Bhatt, Elizabeth Jacob
Cerebral venous sinus thrombosis (CVST) is a relatively uncommon but important cause of stroke-like disease, accounting for fewer than 1% of all strokes. CVST is more common in females and infants. CVST patients are most common in the third decade, with a female-to-male ratio of 5:1.5. The incidence of CVST has been found to be high in developing countries, particularly in South-East Asia. Headache is the most prevalent clinical sign of CVST, occurring in 88% to 93% of patients, followed by a seizure in 37% to 71%, focal neurological deficit in 20% to 54%, and isolated increased intracranial pressure in 23%.[1] A 34-year-old male came to the tertiary care hospital with complaints of headache, vomiting, and vertigo for 1 day. Headache is insidious, progressive, nonradiating, holocephalic, severe in intensity and associated with vertigo and dizziness, and giddiness, he also complained about nausea and vomiting (10–12 episodes/day) containing food and water. The patient had no family history but has been chronic tobacco chewer for 10 years. Past medical history revealed that he was admitted to the hospital before for the same complaints and he also had right lower vein deep-vein thrombosis 6 months back. His magnetic imaging resonance reports and protein S and C deficiency reports revealed that he was suffering from CVST. He was prescribed with anticoagulants and other supportive treatments that include antiemetic, analgesics, and multivitamins, which cause faster and better recovery of patients.
脑静脉窦血栓形成(CVST)是中风类疾病中相对少见但却很重要的病因,只占中风总数的不到 1%。CVST 在女性和婴儿中更为常见。CVST 患者多见于第三个十年,男女比例为 5:1.5。在发展中国家,尤其是东南亚,CVST 的发病率很高。头痛是 CVST 最常见的临床表现,88%-93% 的患者会出现头痛,其次是癫痫发作(37%-71%)、局灶性神经功能缺损(20%-54%)和孤立性颅内压增高(23%)。头痛呈隐匿性、进行性、非放射性、全脑性、剧烈,伴有眩晕、头晕和目眩,他还主诉恶心和呕吐(10-12 次/天),呕吐物中含有食物和水。患者没有家族病史,但长期咀嚼烟草已有 10 年之久。既往病史显示,他曾因同样的主诉入院治疗,6 个月前还患过右下静脉深静脉血栓。他的磁共振成像报告以及蛋白质 S 和 C 缺乏症报告显示,他患有 CVST。医生给他开了抗凝剂和其他辅助治疗药物,包括止吐药、镇痛药和多种维生素,这些药物能让患者更快更好地康复。
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引用次数: 0
Training medical students in cognitive, intrapersonal, and interpersonal domain competencies: Existing challenges and role of medical teachers 对医学生进行认知、个人和人际领域能力的培训:现有挑战和医学教师的作用
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_178_22
Saurabh Ram Bihari Shrivastava, Mira Duan Raharjo, Bayu Pratama, Tasi'ah Nur, Nurul Maziyyah, K. Pratidina, Achcia Maliny, Yanuarti Retnaningrum
The medical students of the current generation are expected to perform a wide range of activities targeted toward the acquisition of a multitude of skills and the attainment of various learning competencies. The purpose of the current review is to explore the challenges in the cognitive, interpersonal, and intrapersonal domains, and to propose an educational plan to respond to the challenges defined in the cognitive domain. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and a total of 39 articles were selected based on their suitability with the current review objectives. Keywords used in the search include critical thinking and medical education in the title alone only. The findings of a committee reported that a successful health-care professional will essentially require competence in three domains, namely cognitive, intrapersonal, and interpersonal domain. However, the careful analysis of the medical education delivery system across different parts of the world suggests that we are falling short in our efforts to adequately expose medical students' to these competencies. In the global mission to improve the quality of health-care delivery, we have to take specific measures to ensure the attainment of the desired competencies, and the involvement of teachers will be crucial. In conclusion, considering the dynamism in the health sector, it is the responsibility of educators to enhance the attainment of cognitive competencies of the students. Further, students should be encouraged to reflect, and experiential learning should be regularly practiced to equip the students with intrapersonal skills. Finally, we also have to focus on the attainment of interpersonal competencies, as it prepares them to work as effective members of the team.
当代医科学生需要从事各种活动,以掌握多种技能和达到各种学习能力。本综述旨在探讨认知、人际和人内领域的挑战,并提出应对认知领域挑战的教育计划。我们在 PubMed 和谷歌学术搜索引擎上对所有与该主题相关的资料进行了广泛搜索,并根据其与本次综述目标的契合程度共筛选出 39 篇文章。搜索中使用的关键词仅包括标题中的批判性思维和医学教育。一个委员会的研究结果表明,一名成功的医护人员基本上需要具备三个领域的能力,即认知领域、人际领域和个人领域。然而,对世界各地医学教育体系的仔细分析表明,我们在让医学生充分接触这些能力方面做得不够。在提高医疗服务质量的全球任务中,我们必须采取具体措施,确保达到所需的能力,而教师的参与将是至关重要的。总之,考虑到卫生部门的活力,教育工作者有责任提高学生的认知能力。此外,应鼓励学生进行反思,并定期开展体验式学习,以培养学生的个人能力。最后,我们还必须注重培养学生的人际交往能力,因为这有助于他们成为团队中的有效成员。
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引用次数: 0
Newer prospects of regenerative endodontics: A comprehensive and updated review of literature 再生牙髓学的新前景:全面、最新的文献综述
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_214_22
M. Khan, M. Jindal
In pediatric dental patients, the management of nonvital immature teeth with undeveloped root in endodontic practice pose difficult and cumbersome clinical situations or challenges for the dental practitioners owing to the various factors, namely, the shorter root with thinner dentinal walls and the lack of apical closure make the affected tooth difficult to obturate conventionally and also make more vulnerable to root fracture. Conventionally, apexification and later apical barrier/plug endodontic modalities have been widely undertaken for such affected teeth. However, such treatment approaches have several intrinsic shortcomings such as uncertain long-term treated tooth prognosis. Since recent years, a biologically based therapeutic endodontic approach known as regenerative endodontic therapy has been or being extensively explored or studied to overcome the drawbacks of previous conventional treatment modalities and also to improve the long-term prognosis of the affected immature nonvital teeth in children and adolescents. Regenerative endodontics is a rapidly evolving subject and also a promising treatment modality for the scientific researchers and clinicians, respectively. Hence, the present article aims to comprehensively and critically appraise the recent literature pertaining to regenerative endodontic procedures. The relevant literature regarding the regenerative endodontics was searched in electronic databases. The articles were retrieved using Boolean operators with relevant keywords/Medical Subject Headings. The included relevant articles were critically appraised in the present review. The latest important aspects of regenerative endodontic have been described in a systematic manner for its better understanding and deeper insights for the general and pediatric dental professionals.
在儿童牙科患者中,牙髓治疗实践中对牙根未发育的非活体未成熟牙齿的管理给牙科医生带来了困难和繁琐的临床情况或挑战,这是由多种因素造成的,即较短的牙根和较薄的牙本质壁以及缺乏根尖封闭使得患牙难以用传统方法封闭,也更容易发生根折。传统上,对这类患牙广泛采用根尖封闭和后来的根尖屏障/根管治疗方法。然而,这些治疗方法都有一些固有的缺陷,比如治疗后牙齿的长期预后不确定。近年来,一种被称为再生牙髓疗法的基于生物学的牙髓治疗方法已经或正在被广泛探索或研究,以克服以往传统治疗方法的弊端,并改善儿童和青少年受影响的未成熟非活髓牙的长期预后。对于科研人员和临床医生来说,再生牙髓学是一个发展迅速的课题,也是一种前景广阔的治疗模式。因此,本文旨在全面、批判性地评估与再生牙髓治疗程序相关的最新文献。本文在电子数据库中搜索了有关再生牙髓术的相关文献。使用布尔运算符和相关关键词/医学主题词检索文章。本综述对收录的相关文章进行了严格评估。本综述系统地描述了再生牙髓学的最新重要方面,以便普通牙科和儿童牙科专业人员更好地理解和深入了解。
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引用次数: 0
Correlation of serum prostate-specific antigen with gleason's score/grade group in prostate cancers and their histopathological findings: A 4-year retrospective study at a tertiary care center 前列腺癌患者血清前列腺特异性抗原与格里森评分/分级组及其组织病理学结果的相关性:一家三级医疗中心的四年回顾性研究
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_75_22
Ritu Sharma, Megha Bansal, H. Sharma, Nikhilesh Kumar, Vinish, Monika Gupta, Manju Sirohi
Background: Prostate-specific antigen (PSA) has been widely used as a screening method in different prostatic pathology including prostate cancer. The malignant potential of prostate cancer is associated with tumor volume at diagnosis and studies of the correlation between serum PSA levels and Gleason's grading which remains one of the most powerful predictors of prostate cancer. Aim: To correlate serum PSA and Gleason's score/Group grade in various neoplastic prostatic biopsies and to study their histopathological findings at a tertiary care center. Materials and Methods: This study uses PSA as a screening tool and to correlate serum PSA level to Gleason scores/group grades in various neoplastic and nonneoplastic prostatic biopsies, received at the Department of Pathology, T. S. Misra Medical College and Hospital, Lucknow during 4 years from June 2016 to July 2020. Results: The mean serum PSA value in benign prostatic hyperplasia (BPH) without prostatitis cases was 1.80 ng/ml and BPH with prostatitis was 5.86 and in malignant cases was 55.2 ng/ml. Serum PSA in the range of 0–4 ng/ml was significantly associated with benign lesions and a value of more than 20 ng/ml was significantly associated with malignant lesions. The most frequent Gleason score was 7 and Grade group II was the highest in number. The highest incidence of malignancies and prostatic hyperplasia occurred among the 60–69 years of age group. PSA values increased significantly (P < 0.05) in prostatic carcinoma cases (Group grade II and III). Conclusion: PSA is a valid, sensitive, and early screening method for the diagnosis of both neoplastic and nonneoplastic lesions of the prostate. PSA values correlated significantly with Gleason's score/grade groups of prostatic carcinoma.
背景:前列腺特异性抗原(PSA前列腺特异性抗原(PSA)已被广泛用作包括前列腺癌在内的各种前列腺病理学的筛查方法。前列腺癌的恶性潜能与诊断时的肿瘤体积有关,而血清 PSA 水平与 Gleason 分级之间的相关性研究仍是前列腺癌最有力的预测指标之一。目的:在一家三级医疗中心对各种肿瘤性前列腺活检组织中的血清 PSA 和 Gleason 评分/组分级进行相关性分析,并研究其组织病理学结果。材料和方法:本研究使用 PSA 作为筛查工具,并对勒克瑙 T. S. Misra 医学院和医院病理科在 2016 年 6 月至 2020 年 7 月的 4 年间接收的各种肿瘤性和非肿瘤性前列腺活检组织的血清 PSA 水平与 Gleason 评分/组别等级进行相关性分析。结果:无前列腺炎的良性前列腺增生症(BPH)病例的平均血清 PSA 值为 1.80 纳克/毫升,有前列腺炎的良性前列腺增生症病例的平均血清 PSA 值为 5.86 纳克/毫升,恶性病例的平均血清 PSA 值为 55.2 纳克/毫升。血清 PSA 值在 0-4 纳克/毫升范围内与良性病变明显相关,超过 20 纳克/毫升则与恶性病变明显相关。最常见的 Gleason 评分是 7 分,II 级组数量最多。恶性肿瘤和前列腺增生发病率最高的年龄组为 60-69 岁。前列腺癌病例(II 级和 III 级组)的 PSA 值明显升高(P < 0.05)。结论PSA 是诊断前列腺肿瘤性和非肿瘤性病变的有效、敏感和早期筛查方法。PSA 值与前列腺癌的格里森评分/分级组明显相关。
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引用次数: 0
Cytokines and inflammatory markers in nonalcoholic fatty liver disease: A narrative review 非酒精性脂肪肝中的细胞因子和炎症标志物:叙述性综述
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_237_22
Sujal Patel, Shilpa Bawankule, S. Acharya, Sunil Kumar
Increased liver fat content is a hallmark of nonalcoholic fatty liver disease (NAFLD), a group of histological abnormalities. It has been proposed that these alterations in hepatic and systemic inflammation may be connected and that the presence of fat deposition in the liver is crucial for the diagnosis of NAFLD. Uncertainty surrounds whether each histological category reflects an unlike disease or merely various stages of the same disease may alter the pathogenesis and prognosis of NAFLD. A considerable activation of inflammatory cells and an increase of a variety of soluble inflammatory mediators are characteristics of nonalcoholic steatohepatitis. The most inflammatory NAFLD has a higher risk of developing into serious and chronic liver disease. Among other mediators, cytokines and chemokines may be important in NAFLD and are being researched as possible treatment targets. In this review, we will update our understanding of the potential impact that cytokines and chemokines may have in the emergence of NAFLD.
肝脏脂肪含量增加是非酒精性脂肪肝(NAFLD)的标志,非酒精性脂肪肝是一组组织学异常。有人认为,肝脏和全身炎症的这些变化可能是相互关联的,肝脏中脂肪沉积的存在是诊断非酒精性脂肪肝的关键。不确定的是,每种组织学类型反映的是一种不同的疾病,还是仅仅是同一种疾病的不同阶段,这可能会改变非酒精性脂肪肝的发病机制和预后。炎症细胞大量活化和各种可溶性炎症介质增加是非酒精性脂肪性肝炎的特征。炎症最严重的非酒精性脂肪肝发展成严重慢性肝病的风险更高。在其他介质中,细胞因子和趋化因子可能是非酒精性脂肪性肝炎的重要因素,目前正将其作为可能的治疗目标进行研究。在本综述中,我们将更新我们对细胞因子和趋化因子在非酒精性脂肪肝出现过程中可能产生的潜在影响的认识。
{"title":"Cytokines and inflammatory markers in nonalcoholic fatty liver disease: A narrative review","authors":"Sujal Patel, Shilpa Bawankule, S. Acharya, Sunil Kumar","doi":"10.4103/jss.jss_237_22","DOIUrl":"https://doi.org/10.4103/jss.jss_237_22","url":null,"abstract":"Increased liver fat content is a hallmark of nonalcoholic fatty liver disease (NAFLD), a group of histological abnormalities. It has been proposed that these alterations in hepatic and systemic inflammation may be connected and that the presence of fat deposition in the liver is crucial for the diagnosis of NAFLD. Uncertainty surrounds whether each histological category reflects an unlike disease or merely various stages of the same disease may alter the pathogenesis and prognosis of NAFLD. A considerable activation of inflammatory cells and an increase of a variety of soluble inflammatory mediators are characteristics of nonalcoholic steatohepatitis. The most inflammatory NAFLD has a higher risk of developing into serious and chronic liver disease. Among other mediators, cytokines and chemokines may be important in NAFLD and are being researched as possible treatment targets. In this review, we will update our understanding of the potential impact that cytokines and chemokines may have in the emergence of NAFLD.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":"8 1","pages":"307 - 311"},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345573","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
Surgical robot and its impact on health-care services 手术机器人及其对医疗服务的影响
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_389_23
Rajendra Nerli, S. Ghagane, Dayananda Melanahalli
{"title":"Surgical robot and its impact on health-care services","authors":"Rajendra Nerli, S. Ghagane, Dayananda Melanahalli","doi":"10.4103/jss.jss_389_23","DOIUrl":"https://doi.org/10.4103/jss.jss_389_23","url":null,"abstract":"","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":"25 1","pages":"279 - 281"},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345665","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
Inconspicuous suprascapular arteriovenous malformation causing suprascapular nerve entrapment: Unique case report 不明显的肩胛上动静脉畸形导致肩胛上神经卡压:独特的病例报告
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_21_22
Varun Nimje, Shubham Bodhankar, Tushar Yadav
Arteriovenous malformations (AVMs) are congenital high-flow vascular malformations and are generally diagnosed when they cause localized swelling, pulsatility, or skin changes. AVMs only manifest themselves when they are sufficiently large. We present a case of a young woman presenting with nonspecific pain over the posterior aspect of the left shoulder that was found to be due to suprascapular nerve entrapment caused by an unremarkable AVM. Entrapment of the suprascapular nerve as a cause of shoulder pain is in itself unusual. That being said, AVM is even rarer and uncommon as a cause of suprascapular nerve entrapment.
动静脉畸形(AVM)是一种先天性高流量血管畸形,一般在引起局部肿胀、搏动或皮肤变化时才能确诊。动静脉畸形只有在足够大时才会显现出来。我们介绍了一例年轻女性的病例,她的左肩后部出现非特异性疼痛,经检查发现是由无明显异常的动静脉畸形引起的肩胛上神经卡压所致。肩胛上神经卡压导致肩部疼痛本身并不常见。尽管如此,作为肩胛上神经卡压的原因,反车辆瘤则更为罕见和不常见。
{"title":"Inconspicuous suprascapular arteriovenous malformation causing suprascapular nerve entrapment: Unique case report","authors":"Varun Nimje, Shubham Bodhankar, Tushar Yadav","doi":"10.4103/jss.jss_21_22","DOIUrl":"https://doi.org/10.4103/jss.jss_21_22","url":null,"abstract":"Arteriovenous malformations (AVMs) are congenital high-flow vascular malformations and are generally diagnosed when they cause localized swelling, pulsatility, or skin changes. AVMs only manifest themselves when they are sufficiently large. We present a case of a young woman presenting with nonspecific pain over the posterior aspect of the left shoulder that was found to be due to suprascapular nerve entrapment caused by an unremarkable AVM. Entrapment of the suprascapular nerve as a cause of shoulder pain is in itself unusual. That being said, AVM is even rarer and uncommon as a cause of suprascapular nerve entrapment.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":"19 1","pages":"404 - 406"},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344484","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
Comparison of the effect of conventional nasal packing and merocel packing following deviated septal surgeries 鼻中隔偏曲手术后传统鼻腔填料与 merocel 填料的效果比较
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_35_23
F. John, R. Valli, T. Kiren
Context: Nasal packs are necessary after nasal surgery for hemostasis and internal stabilization of bony and cartilaginous structures. Aims: The study was done to compare the outcomes of conventional nasal packing and Merocel packing in terms of the middle ear pressure, mucociliary clearance, patient comfort, and complication. Settings and Design: A prospective study was conducted among 40 patients in a tertiary care center for 18 months. Subjects and Methods: The patients between 18 and 50 years and who underwent septal surgery were included in the study. The patients with any history of ciliary dysfunction, who underwent functional endoscopic sinus surgery with septoplasty, and any middle ear diseases were excluded from the study. The patients were divided into Group 1, which had conventional nasal pack and Group 2, which had Merocel postoperatively. All the patients were assessed with impedance audiometry and sacchrin test preoperatively and postoperatively at 1, 2 and 4 weeks and these were compared between the 2 groups. During pack removal, pain and bleeding and postoperative complications were also compared between the groups. Statistical Analysis Used: The difference between the two-group comparison student t-tests, the differences between the right and left sides of the same tests paired t-test. The association/difference between categorical variables Chi-square test was calculated at a 5% level of significance. Results: Group 1 and Group 2 had a mean age of 38.47 and 37.47, respectively. Gender predisposition in Group 2 is 1:1 and in Group 1 is 3:2. The middle ear pressure returns to normal by 2nd week in Group 2 compared to Group 1, which improved by 4th week (P < 0.05). The mucociliary clearance reverts to normal by 1st week in Group 2 and 4th week in Group 1 (P = 0.0001) was statistically significant. Group 2 had lesser pain scores assessed using visual analog scores (P = 0.0001) and less bleeding (P = 0.01), which was statistically significant. Group 2 has fewer postoperative complications. Conclusions: The conventional and Merocel packs were both effective packs. In terms of mucociliary clearance, the middle ear pressure Merocel packing was better, and conventional nasal packing had more incidence in terms of postoperative complications.
背景:鼻腔手术后必须进行鼻腔填塞,以止血并在内部稳定骨和软骨结构。目的:本研究比较了传统鼻腔填料和 Merocel 填料在中耳压力、粘液纤毛清除率、患者舒适度和并发症方面的效果。设置与设计:在一家三级医疗中心对 40 名患者进行了为期 18 个月的前瞻性研究。研究对象和方法:研究对象包括年龄在 18 至 50 岁之间接受鼻中隔手术的患者。有睫状肌功能障碍病史、接受过功能性内窥镜鼻窦手术和鼻中隔成形术的患者以及患有中耳疾病的患者不在研究范围内。患者被分为使用传统鼻腔填料的第一组和术后使用美罗凯尔的第二组。所有患者在术前、术后 1 周、2 周和 4 周均接受了阻抗测听和蔗糖试验,并对两组患者进行了比较。此外,还比较了两组患者在拆除包装时的疼痛、出血和术后并发症情况。统计分析:两组比较的差异采用学生 t 检验,相同检验的左右两侧差异采用配对 t 检验。分类变量之间的关联/差异采用卡方检验(Chi-square test),显著性水平为 5%。结果第 1 组和第 2 组的平均年龄分别为 38.47 岁和 37.47 岁。第 2 组的性别比例为 1:1,第 1 组为 3:2。第 2 组的中耳压力在第 2 周恢复正常,而第 1 组在第 4 周有所改善(P < 0.05)。第 2 组的粘液纤毛清除率在第 1 周恢复正常,而第 1 组在第 4 周恢复正常(P = 0.0001),差异有统计学意义。用视觉模拟评分法评估,第 2 组的疼痛评分较低(P = 0.0001),出血较少(P = 0.01),有统计学意义。第 2 组术后并发症较少。结论:传统药包和 Merocel 药包都是有效的药包。就粘液纤毛清除率而言,中耳压美洛昔尔填料更好,而传统鼻腔填料术后并发症发生率更高。
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引用次数: 0
Exploring the role of YouTube in supplementing medical education and patient care 探索 YouTube 在辅助医学教育和病人护理方面的作用
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_84_22
Saurabh Ram Bihari Shrivastava, P. Shrivastava
Significant paradigm shifts and reforms have been reported in the field of medical education delivery worldwide depending on the changing health-care needs of the community and the demands of medical students. The purpose of the current review is to explore the role of YouTube in facilitating the delivery of medical education and improving clinical practice on the global platform. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and a total of 49 articles were selected based on their suitability with the current review objectives and analyzed. Keywords used in the search include YouTube, social media, and medical education in the title alone only. Being a freely available platform that can be accessed by anyone, YouTube has emerged as a platform that can be looked upon as an option to combine different kinds of educational resources for the benefit of medical students. In addition, the introduction of YouTube as a learning resource material has played a significant role in improving confidence levels, better acquisition of knowledge, and improved levels of satisfaction among students. To conclude, social networking sites like YouTube have emerged as one of the popular tools of information and educational material for the benefit of medical students and health-care professionals. Realizing the potential of the platform, it is high time that specific steps are taken to integrate YouTube into the medical curriculum and help students and health-care professionals to acquire knowledge and clinical skills.
据报道,根据社会不断变化的医疗保健需求和医学生的要求,全球医学教育领域出现了重大的范式转变和改革。本综述旨在探讨 YouTube 在全球平台上促进医学教育和改善临床实践方面的作用。我们在 PubMed 和 Google Scholar 搜索引擎上广泛搜索了与该主题相关的所有资料,并根据其与当前综述目标的匹配性筛选出 49 篇文章进行分析。搜索中使用的关键词包括 YouTube、社交媒体和医学教育(仅在标题中使用)。作为一个任何人都可以免费访问的平台,YouTube 已经成为一个可以将不同种类的教育资源结合起来为医学生服务的平台。此外,YouTube 作为一种学习资源材料,在提高学生的自信心、更好地掌握知识和提高满意度方面发挥了重要作用。总之,YouTube 等社交网站已成为医学生和医护专业人员获取信息和教育材料的流行工具之一。认识到该平台的潜力,现在是采取具体措施将 YouTube 纳入医学课程并帮助学生和医护专业人员获取知识和临床技能的时候了。
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引用次数: 0
Peer victimization of Indian students: Prevalence and correlates 印度学生的同伴伤害:普遍性和相关性
IF 0.3 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_221_22
Malhi Prahbhjot, Manjit Sidhu, Bhavneet Bharti
Objectives: To examine the overlap of traditional and cyber victimization and the relationship between victimization and self-esteem of college and university students. Methodology: The study utilized a cross-sectional online survey design to measure the self-reported experiences of peer victimization of higher education students. The multidimensional bullying and cyberbullying scale and the Rosenberg self-esteem scale were used to measure traditional and cyber victimization and self-esteem, respectively. The study was cleared by the Institutional Ethics Committee. Results: A total of 854 complete responses were included in the study (mean age = 21.6 years, standard deviation = 3.55) and a little more than three-fourths of the participants were females (76.7%). The overall prevalence of victimization of any type of bullying was 44.6%. Offline victimization was more common and overall, 40.9% reported being victimized offline, while 23.3% reported being victimized online in the last 3 months, respectively. There was considerable overlap between various types of victimization, and the correlations between cyberbullying, physical, verbal, and relational bullying were moderate (range 0.41–0.56). Most were bullied by known people and friends (28.1%). Only a small proportion considered reporting the bullying to the authorities (10.7%). No link between problematic technology use and cyber victimization was found. A one-way Analysis of variance revealed that victims of both types of bullying had the lowest self-esteem score (F = 9.04, P = 0.0001). Conclusions: Public health policymakers need to focus on positive youth development to foster resilience in the face of adversity and help young adults to thrive and flourish in a rapidly expanding and evolving digital world.
研究目的研究大专院校学生传统受害与网络受害的重叠情况,以及受害与自尊之间的关系。研究方法:本研究采用横断面在线调查设计,测量高校学生自我报告的同伴受害经历。多维欺凌与网络欺凌量表和罗森伯格自尊量表分别用于测量传统的和网络的受害情况和自尊。本研究通过了机构伦理委员会的审核。研究结果共有 854 份完整答卷被纳入研究(平均年龄 = 21.6 岁,标准差 = 3.55),女性参与者占四分之三多一点(76.7%)。遭受任何类型欺凌的总体比例为 44.6%。线下受害情况更为普遍,总体而言,40.9%的受访者表示在过去三个月内曾在线下受害,而23.3%的受访者表示在过去三个月内曾在网上受害。各种类型的受害情况有相当大的重叠,网络欺凌、身体欺凌、言语欺凌和关系欺凌之间的相关性为中等(范围为 0.41-0.56)。大多数人受到了熟人和朋友的欺凌(28.1%)。只有一小部分人考虑向有关部门举报欺凌行为(10.7%)。没有发现问题技术的使用与网络受害之间存在联系。单因素方差分析显示,这两种欺凌行为的受害者自尊心得分最低(F = 9.04,P = 0.0001)。结论公共卫生政策制定者需要关注青少年的积极发展,培养他们面对逆境时的适应能力,帮助青少年在快速发展和演变的数字世界中茁壮成长。
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引用次数: 0
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