Mohd Yasir Zubair, Absar Ahmad, Sameena Ahmad, Saira Mehnaz, U. Eram, Ragul Jayaprakasam Satyamoorthy, Zeeshan Ahmad
Introduction: With the advent of COVID-19 pandemic there has been a rapid shift in the mode of delivering education. A swift transition from place-based offline classes to virtual online learning platforms has emerged during the pandemic. The present study explored the acceptance, perceptions and preferences of blended learning among medical undergraduate students. Methods: MBBS undergraduate students of second and final professional (Part I & II) phases from Jawaharlal Nehru Medical College, AMU, Aligarh, UP were enrolled in the study. We studied acceptance, perception and preferences regarding blended mode of learning of MBBS students using online Google Form. Semi structured questionnaire was drafted by the research team, based on thorough and critical review of pertinent literature and other similar survey tools. Each item was discussed separately and changes were made where required. Then, it was transformed to an online form through Google Forms. Results: Out of a total of 432 students, more than 3/4th of students (78.2%) believed that combined approach would lead to improvement in learning. Around half (53.6%) of the female students were relying predominantly on offline learning compared to 37.0% of male students (p = 0.004). Flexible schedule and personal convenience was reported as the most common benefit of online learning while lack of interaction with peers and connectivity issues were found to be the major disadvantages. Conclusion: Majority of the students echoed a positive attitude towards blended mode of teaching and learning. Medical education is largely demonstration and application based for acquiring skills. Therefore, a combined approach where the theoretical aspect of the curriculum is made online, might offer a more convenient, flexible and effective alternative way of teaching and learning. IMC J Med Sci. 2024; 18(1):009. DOI: https://doi.org/10.55010/imcjms.18.009 *Correspondence: Mohd. Yasir Zubair, Department of Community Medicine, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India. Email: yasmuhsin@gmail.com
{"title":"Preferences and perceptions of MBBS students towards blended learning in medical education","authors":"Mohd Yasir Zubair, Absar Ahmad, Sameena Ahmad, Saira Mehnaz, U. Eram, Ragul Jayaprakasam Satyamoorthy, Zeeshan Ahmad","doi":"10.55010/imcjms.18.009","DOIUrl":"https://doi.org/10.55010/imcjms.18.009","url":null,"abstract":"Introduction: With the advent of COVID-19 pandemic there has been a rapid shift in the mode of delivering education. A swift transition from place-based offline classes to virtual online learning platforms has emerged during the pandemic. The present study explored the acceptance, perceptions and preferences of blended learning among medical undergraduate students. Methods: MBBS undergraduate students of second and final professional (Part I & II) phases from Jawaharlal Nehru Medical College, AMU, Aligarh, UP were enrolled in the study. We studied acceptance, perception and preferences regarding blended mode of learning of MBBS students using online Google Form. Semi structured questionnaire was drafted by the research team, based on thorough and critical review of pertinent literature and other similar survey tools. Each item was discussed separately and changes were made where required. Then, it was transformed to an online form through Google Forms. Results: Out of a total of 432 students, more than 3/4th of students (78.2%) believed that combined approach would lead to improvement in learning. Around half (53.6%) of the female students were relying predominantly on offline learning compared to 37.0% of male students (p = 0.004). Flexible schedule and personal convenience was reported as the most common benefit of online learning while lack of interaction with peers and connectivity issues were found to be the major disadvantages. Conclusion: Majority of the students echoed a positive attitude towards blended mode of teaching and learning. Medical education is largely demonstration and application based for acquiring skills. Therefore, a combined approach where the theoretical aspect of the curriculum is made online, might offer a more convenient, flexible and effective alternative way of teaching and learning. IMC J Med Sci. 2024; 18(1):009. DOI: https://doi.org/10.55010/imcjms.18.009 *Correspondence: Mohd. Yasir Zubair, Department of Community Medicine, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India. Email: yasmuhsin@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"44 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139162034","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}
Tanzinah Nasrin, Nurun Nahar Faizunnesa, Sraboni Mazumder
Background and objectives: Polymorphonuclear neutrophils (PMN) are the first line of host resistance against infections. Diabetics are prone to both bacterial and fungal infections. The present study evaluated the phagocytic and killing activity of PMN in diabetics. Material and methods: Females aged 30 to 50 years with and without diabetes mellitus were enrolled. Functions of PMN were assessed by determining the phagocytic rate, phagocytic index and killing of C. albicans by PMN. Results: A total of 36 diabetic patients and 15 age matched non-diabetic healthy individuals were enrolled. Phagocytosis and killing of C. albicans by PMN were significantly (p<0.05) lower in patients with diabetes mellitus compared to non-diabetic healthy individuals (86.5±14.6 vs. 94.5±4.2; 56.7±23.8 vs. 81.5±24.2). Conclusion: Phagocytic and killing functions of PMN were significantly reduced in patients with diabetes mellitus. IMC J Med Sci. 2024; 18(1):008. DOI: https://doi.org/10.55010/imcjms.18.008 *Correspondence:Tanzinah Nasrin, Microbiologist, Quality Control Laboratory, Department of Fisheries, Ministry of Fisheries and Livestock, Dhaka, Bangladesh. Email: tanzinahn8@gmail.com
背景与目的:多形核中性粒细胞(PMN)是宿主抗感染的第一线。糖尿病患者容易受到细菌和真菌感染。本研究评价了PMN在糖尿病患者体内的吞噬和杀伤活性。材料与方法:年龄30 ~ 50岁，伴有或不伴有糖尿病的女性。通过测定PMN的吞噬率、吞噬指数和对白色念珠菌的杀伤作用来评价PMN的功能。结果:共纳入36例糖尿病患者和15例年龄匹配的非糖尿病健康人。糖尿病患者PMN对白色念珠菌的吞噬和杀伤能力显著低于非糖尿病健康人(86.5±14.6∶94.5±4.2;56.7±23.8 vs. 81.5±24.2)。结论:糖尿病患者PMN的吞噬和杀伤功能明显降低。中华医学会医学杂志。2024;18(1): 008。DOI: https://doi.org/10.55010/imcjms.18.008*Correspondence:Tanzinah纳斯林，微生物学家，质量控制实验室，渔业和畜牧业部，孟加拉国达卡。电子邮件:tanzinahn8@gmail.com
{"title":"Impaired polymorphonuclear neutrophil functions in diabetics","authors":"Tanzinah Nasrin, Nurun Nahar Faizunnesa, Sraboni Mazumder","doi":"10.55010/imcjms.18.008","DOIUrl":"https://doi.org/10.55010/imcjms.18.008","url":null,"abstract":"Background and objectives: Polymorphonuclear neutrophils (PMN) are the first line of host resistance against infections. Diabetics are prone to both bacterial and fungal infections. The present study evaluated the phagocytic and killing activity of PMN in diabetics.\u0000\u0000Material and methods: Females aged 30 to 50 years with and without diabetes mellitus were enrolled. Functions of PMN were assessed by determining the phagocytic rate, phagocytic index and killing of C. albicans by PMN.\u0000\u0000Results: A total of 36 diabetic patients and 15 age matched non-diabetic healthy individuals were enrolled. Phagocytosis and killing of C. albicans by PMN were significantly (p<0.05) lower in patients with diabetes mellitus compared to non-diabetic healthy individuals (86.5±14.6 vs. 94.5±4.2; 56.7±23.8 vs. 81.5±24.2).\u0000\u0000Conclusion: Phagocytic and killing functions of PMN were significantly reduced in patients with diabetes mellitus.\u0000\u0000IMC J Med Sci. 2024; 18(1):008. DOI: https://doi.org/10.55010/imcjms.18.008\u0000\u0000*Correspondence:Tanzinah Nasrin, Microbiologist, Quality Control Laboratory, Department of Fisheries, Ministry of Fisheries and Livestock, Dhaka, Bangladesh. Email: tanzinahn8@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"99 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600045","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}
Nehlin Tomalika, Rishad Mahzabeen, Md Mohiuddin Tagar, Sadya Afroz, Naima Ahmed, M. Mohsena, Rashid-E Mahbub, MA Sayeed
Background and objectives: The COVID-19 pandemic caused a significant impact on health worldwide. Adverse effect of COVID-19 on health-related quality of life is significant. This study aimed to find out the impact of COVID-19 on the physical, mental and social health of suburban and rural adult population in Bangladesh. Methods: A suburban and a rural community were purposively selected. The suburban and rural areas were located about 40 km and 130 km north and north-east of Dhaka city respectively. People aged ≥20 years in the selected communities were enrolled in the study. The investigation procedure included socio-demographic and clinical history, anthropometry, and clinical examination and laboratory investigations. Depression, Anxiety and Stress Scale-21 (DASS-21) and 36-Item Short Form Health Survey (SF-36) questionnaires were used for assessing mental and social health respectively. Knowledge, attitude and practice (KAP) regarding the prevention and transmission of COVID-19 was assessed by a validated questionnaire and interview. Results: Total 385 individuals (suburban=201, rural=184) were enrolled in the study. Out of 385, 116 and 269 were male and female, respectively. Out of total 385 participants, depression, anxiety and stress were present in 113 (29.4%), 144 (37.4%) and 70 (18.2%) respectively, while 210 (54.5%) were normal. Extremely severe depression, anxiety and stress were present in 3.6%, 6% and 0.5%, respectively. Depression and anxiety did not differ between suburban and rural populations, though stress was significantly higher among the suburban (p<0.05) population. Social functioning was limited in more than 50% as opposed to excellent (5.5%) or good (39.8%). Almost 60% of the participants had to cut-down schedule of heavy work. Moderate to minimal physical activities were less affected, though weakness and nervousness predominantly hindered socialization. About the prevention and transmission of COVID-19, awareness and attitude were found satisfactory (≥45%), though practice was neglected (<30%). Conclusions: This is the first study in Bangladesh to report the impact of the COVID-19 pandemic on the physical, mental, and social health of adult suburban and rural populations. Physical and mental disabilities were evident among the studied people. Social functioning was affected by COVID-19 equally in suburban and rural participants. A well-designed cohort study is needed to obtain a real picture of the impact of COVID-19 pandemic on human health and society. IMC J Med Sci. 2024; 18(1):007. DOI: https://doi.org/10.55010/imcjms.18.007 *Correspondence: MA Sayeed, Department of Community Medicine and Public Health, Ibrahim Medical College, 1/A Ibrahim Sarani, Segunbagicha, Dhaka 1000, Bangladesh; Email: sayeed1950@gmail.com
背景和目标:2019冠状病毒病大流行对全球健康造成重大影响。COVID-19对健康相关生活质量的不良影响显著。本研究旨在了解COVID-19对孟加拉国郊区和农村成年人身体、心理和社会健康的影响。方法:有目的地选择一个郊区社区和一个农村社区。郊区和农村地区分别位于达卡市以北40公里和东北130公里处。在选定的社区中，年龄≥20岁的人被纳入研究。调查程序包括社会人口学和临床病史、人体测量、临床检查和实验室调查。采用抑郁、焦虑和压力量表21 (DASS-21)和36项简短健康调查问卷(SF-36)分别评估心理和社会健康状况。通过有效的问卷调查和访谈评估有关COVID-19预防和传播的知识、态度和行为(KAP)。结果:共纳入385人，其中城郊201人，农村184人。385人中，男性116人，女性269人。在385名参与者中，抑郁、焦虑和压力分别有113人(29.4%)、144人(37.4%)和70人(18.2%)存在，而210人(54.5%)正常。极度抑郁、焦虑和压力分别占3.6%、6%和0.5%。抑郁和焦虑在郊区和农村人口之间没有差异，但郊区人口的压力显著高于农村人口(p<0.05)。超过50%的人的社会功能受到限制，而不是优秀(5.5%)或良好(39.8%)。近60%的参与者不得不减少繁重的工作日程。中度至最低限度的身体活动受到的影响较小，尽管虚弱和紧张主要阻碍了社交。对COVID-19预防和传播的认识和态度满意(≥45%)，忽视实践(<30%)。结论:这是孟加拉国首个报告COVID-19大流行对郊区和农村成年人口身体、心理和社会健康影响的研究。在被研究的人群中，身体和精神残疾都很明显。郊区和农村参与者的社会功能受到COVID-19的影响相同。要真正了解新冠肺炎大流行对人类健康和社会的影响，需要进行精心设计的队列研究。中华医学会医学杂志。2024;18(1): 007。DOI: https://doi.org/10.55010/imcjms.18.007*Correspondence: MA Sayeed，易卜拉欣医学院社区医学和公共卫生系，1/A Ibrahim Sarani, Segunbagicha，孟加拉国达卡1000;电子邮件:sayeed1950@gmail.com
{"title":"Impact of COVID-19 pandemic on the physical, mental and social health of the suburban and rural adult population in Bangladesh","authors":"Nehlin Tomalika, Rishad Mahzabeen, Md Mohiuddin Tagar, Sadya Afroz, Naima Ahmed, M. Mohsena, Rashid-E Mahbub, MA Sayeed","doi":"10.55010/imcjms.18.007","DOIUrl":"https://doi.org/10.55010/imcjms.18.007","url":null,"abstract":"Background and objectives: The COVID-19 pandemic caused a significant impact on health worldwide. Adverse effect of COVID-19 on health-related quality of life is significant. This study aimed to find out the impact of COVID-19 on the physical, mental and social health of suburban and rural adult population in Bangladesh.\u0000\u0000Methods: A suburban and a rural community were purposively selected. The suburban and rural areas were located about 40 km and 130 km north and north-east of Dhaka city respectively. People aged ≥20 years in the selected communities were enrolled in the study. The investigation procedure included socio-demographic and clinical history, anthropometry, and clinical examination and laboratory investigations. Depression, Anxiety and Stress Scale-21 (DASS-21) and 36-Item Short Form Health Survey (SF-36) questionnaires were used for assessing mental and social health respectively. Knowledge, attitude and practice (KAP) regarding the prevention and transmission of COVID-19 was assessed by a validated questionnaire and interview.\u0000\u0000Results: Total 385 individuals (suburban=201, rural=184) were enrolled in the study. Out of 385, 116 and 269 were male and female, respectively. Out of total 385 participants, depression, anxiety and stress were present in 113 (29.4%), 144 (37.4%) and 70 (18.2%) respectively, while 210 (54.5%) were normal. Extremely severe depression, anxiety and stress were present in 3.6%, 6% and 0.5%, respectively. Depression and anxiety did not differ between suburban and rural populations, though stress was significantly higher among the suburban (p<0.05) population. Social functioning was limited in more than 50% as opposed to excellent (5.5%) or good (39.8%). Almost 60% of the participants had to cut-down schedule of heavy work. Moderate to minimal physical activities were less affected, though weakness and nervousness predominantly hindered socialization. About the prevention and transmission of COVID-19, awareness and attitude were found satisfactory (≥45%), though practice was neglected (<30%).\u0000\u0000Conclusions: This is the first study in Bangladesh to report the impact of the COVID-19 pandemic on the physical, mental, and social health of adult suburban and rural populations. Physical and mental disabilities were evident among the studied people. Social functioning was affected by COVID-19 equally in suburban and rural participants. A well-designed cohort study is needed to obtain a real picture of the impact of COVID-19 pandemic on human health and society.\u0000\u0000IMC J Med Sci. 2024; 18(1):007. DOI: https://doi.org/10.55010/imcjms.18.007\u0000\u0000*Correspondence: MA Sayeed, Department of Community Medicine and Public Health, Ibrahim Medical College, 1/A Ibrahim Sarani, Segunbagicha, Dhaka 1000, Bangladesh; Email: sayeed1950@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"28 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605357","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}
Background and objectives: Hyperglycemia induces oxidative stress in diabetic patients by increasing reactive oxygen species production, which ultimately damage the cells and cause micro and macrovascular complications including diabetic nephropathy. Increased serum bilirubin level, within physiological range, can inhibit oxidative stress; thereby, preventing development of diabetic nephropathy. The aim of this study was to find out association between serum bilirubin and estimated glomerular filtration rate (eGFR) in diabetic patients with or without chronic kidney disease (CKD). Materials and method: Both male and female participants aged 30 to 60 years were enrolled in the study. Enrolled participants included healthy individuals (Group-1), diabetic patients without CKD (Group-2) and diabetic patients with CKD (Group-3). Clinical and biochemical parameters namely blood pressure, body mass index (BMI), fasting blood glucose (FBG), HbA1c, eGFR, serum bilirubin and spot urine ACR were measured by appropriate methods. Pearson’s correlation coefficient, ANOVA and multiple linear regression models were used to analyze the data. Result: Total 189 respondents were enrolled in 3 study groups. Each group consisted of 63 cases. Of the 63 cases in Group-3, 49 and 14 belonged to CKD stage 3 and stage 4 respectively. The mean (± SD) serum bilirubin levels of healthy individuals, diabetic patients without CKD and diabetic patients with CKD were 0.66 ± 0.31, 0.64 ± 0.21, 0.46±0.18 mg/dL respectively. Mean serum bilirubin was significantly low (p<0.001) in diabetic patients with CKD compared to healthy and diabetics without CKD. A Stepwise multiple regression analysis using eGFR as an objective variable adjusted for risk factors as explanatory variables, showed that serum bilirubin (β=0.323, p<0.001) was significantly associated with eGFR, in addition to age, BMI, HbA1c and urinary ACR. Conclusion: The study has demonstrated that low serum bilirubin level is associated with CKD in diabetic patients and it could be used as a simple marker for CKD in diabetics. IMC J Med Sci. 2024; 18(1):006. DOI: https://doi.org/10.55010/imcjms.18.006 *Correspondence: Tanzia Tahfim, Department of Biochemistry, Shaheed Monsur Ali, Medical College, Uttara, Dhaka-1230, Bangladesh. Email: tanzia.uamc@gmail.com
{"title":"Association between serum bilirubin and estimated glomerular filtration rate in diabetic patients with chronic kidney disease","authors":"Tanzia Tahfim, Gazi Sharmin Sultana, Mst. Hasnat Silvi Era, Farjana Yesmin, Rehana Afroze Ruma, Laila Sultana","doi":"10.55010/imcjms.18.006","DOIUrl":"https://doi.org/10.55010/imcjms.18.006","url":null,"abstract":"Background and objectives: Hyperglycemia induces oxidative stress in diabetic patients by increasing reactive oxygen species production, which ultimately damage the cells and cause micro and macrovascular complications including diabetic nephropathy. Increased serum bilirubin level, within physiological range, can inhibit oxidative stress; thereby, preventing development of diabetic nephropathy. The aim of this study was to find out association between serum bilirubin and estimated glomerular filtration rate (eGFR) in diabetic patients with or without chronic kidney disease (CKD). Materials and method: Both male and female participants aged 30 to 60 years were enrolled in the study. Enrolled participants included healthy individuals (Group-1), diabetic patients without CKD (Group-2) and diabetic patients with CKD (Group-3). Clinical and biochemical parameters namely blood pressure, body mass index (BMI), fasting blood glucose (FBG), HbA1c, eGFR, serum bilirubin and spot urine ACR were measured by appropriate methods. Pearson’s correlation coefficient, ANOVA and multiple linear regression models were used to analyze the data. Result: Total 189 respondents were enrolled in 3 study groups. Each group consisted of 63 cases. Of the 63 cases in Group-3, 49 and 14 belonged to CKD stage 3 and stage 4 respectively. The mean (± SD) serum bilirubin levels of healthy individuals, diabetic patients without CKD and diabetic patients with CKD were 0.66 ± 0.31, 0.64 ± 0.21, 0.46±0.18 mg/dL respectively. Mean serum bilirubin was significantly low (p<0.001) in diabetic patients with CKD compared to healthy and diabetics without CKD. A Stepwise multiple regression analysis using eGFR as an objective variable adjusted for risk factors as explanatory variables, showed that serum bilirubin (β=0.323, p<0.001) was significantly associated with eGFR, in addition to age, BMI, HbA1c and urinary ACR. Conclusion: The study has demonstrated that low serum bilirubin level is associated with CKD in diabetic patients and it could be used as a simple marker for CKD in diabetics. IMC J Med Sci. 2024; 18(1):006. DOI: https://doi.org/10.55010/imcjms.18.006 *Correspondence: Tanzia Tahfim, Department of Biochemistry, Shaheed Monsur Ali, Medical College, Uttara, Dhaka-1230, Bangladesh. Email: tanzia.uamc@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"2 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392296","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}
Introduction and Objectives: Transmission of methicillin-resistant Staphylococcus aureus (MRSA) from healthcare workers is one of the most frequent causes of nosocomial infections globally. There is a significant burden of nosocomial MRSA infections in low and low-middle income countries (LMICs), including Nepal. The present study investigated the rate of nasal carriage of MRSA among the healthcare workers in a tertiary care hospital, in Kathmandu, Nepal with emphasis on inducible macrolide-lincosamide-streptogramin B (iMLSB) resistance. Material and method: The study was conducted at Star Hospital, Lalitpur, Nepal, from September 2022 to November 2022. Healthcare workers (HCWs) working at the diffeerent departments of the hospital were enrolled. Nasal swabs from both anterior nares of HCWs were collected aseptically and cultured on Mannitol Salt agar. S. aureus was identified by Gram stain and standard biochemical tests. Antibiotic susceptibility of S. aureus was performed by disc diffusion method. MRSA isolates were detected phenotypically by disc diffusion method using cefoxitin disc (30 µg), and inducible clindamycin resistance was detected phenotypically by the D-zone test. Results: Total 105 HCWs were enrolled in the study. Out of 105 HCWs, 14 (13.3%) were positive for S. aureus among which 6 (5.7%) were MRSA carriers. The nasal carriage of MRSA was highest among doctors (16.7%) and the HCWs of the post-operative department (14.3%). All the isolated MRSA were susceptible to chloramphenicol and vancomycin. Inducible MLSB resistance was detected in 33.3% MRSA while the rate was 21.4% in all isolated S. aureus. Conclusion: The study demonstrated that HCWs could be the potential source of nosocomial infection by methicillin and inducible clindamycin resistant S. aureus. Thus, preventive measures should be initiated to mitigate the risk of its spread and the test for detection of inducible clindamycin resistance should be incorporated into the routine antibiotic susceptibility testing in hospital settings. IMC J Med Sci. 2024; 18(1):005. DOI: https://doi.org/10.55010/imcjms.18.005 *Correspondence: Gaurab Pandey, Non-Communicable Disease Laboratory, National Public Health Laboratory, Teku, Kathmandu, 44600, Nepal; E-mail: pandeygaurab67@gmail.com
简介和目的:从卫生保健工作者传播耐甲氧西林金黄色葡萄球菌(MRSA)是全球院内感染最常见的原因之一。在包括尼泊尔在内的低收入和中低收入国家(LMICs)，医院内耐甲氧西林金黄色葡萄球菌感染的负担非常重。本研究调查了尼泊尔加德满都一家三级医院医护人员鼻腔携带MRSA的比率，重点是诱导大环内酯-林科胺-链状gramin B (iMLSB)耐药性。材料和方法:研究于2022年9月至2022年11月在尼泊尔Lalitpur的Star医院进行。招募了在医院不同部门工作的医护人员(HCWs)。无菌收集HCWs前鼻孔鼻拭子，在甘露醇盐琼脂上培养。采用革兰氏染色法和标准生化试验鉴定金黄色葡萄球菌。采用纸片扩散法检测金黄色葡萄球菌的药敏。采用头孢西丁片(30µg)圆盘扩散法对MRSA分离株进行表型检测，采用d区法对诱导克林霉素耐药进行表型检测。结果:共纳入105名医护人员。105名医护人员中，金黄色葡萄球菌阳性14人(13.3%)，其中MRSA携带者6人(5.7%)。MRSA鼻腔携带率以医生(16.7%)和术后医护人员(14.3%)最高。所有分离的MRSA均对氯霉素和万古霉素敏感。MRSA的诱导型耐药率为33.3%，而所有分离的金黄色葡萄球菌的耐药率为21.4%。结论:本研究表明，卫生保健病房可能是甲氧西林和诱导型耐克林霉素金黄色葡萄球菌医院感染的潜在来源。因此，应采取预防措施，降低其传播风险，并将诱导克林霉素耐药检测纳入医院常规抗生素药敏试验。中华医学会医学杂志。2024;18(1): 005。DOI: https://doi.org/10.55010/imcjms.18.005 *通信:Gaurab Pandey，非传染性疾病实验室，国家公共卫生实验室，加德满都，44600，尼泊尔;电子邮件:pandeygaurab67@gmail.com
{"title":"Nasal carriage of methicillin and inducible clindamycin resistant Staphylococcus aureus among healthcare workers in a tertiary care hospital, Kathmandu, Nepal","authors":"Gaurab Pandey, Ashrit Sharma Ghimire, Luniva Maharjan, Binita Maharjan, Ashmita Upadhaya, Anita Sah","doi":"10.55010/imcjms.18.005","DOIUrl":"https://doi.org/10.55010/imcjms.18.005","url":null,"abstract":"Introduction and Objectives: Transmission of methicillin-resistant Staphylococcus aureus (MRSA) from healthcare workers is one of the most frequent causes of nosocomial infections globally. There is a significant burden of nosocomial MRSA infections in low and low-middle income countries (LMICs), including Nepal. The present study investigated the rate of nasal carriage of MRSA among the healthcare workers in a tertiary care hospital, in Kathmandu, Nepal with emphasis on inducible macrolide-lincosamide-streptogramin B (iMLSB) resistance. Material and method: The study was conducted at Star Hospital, Lalitpur, Nepal, from September 2022 to November 2022. Healthcare workers (HCWs) working at the diffeerent departments of the hospital were enrolled. Nasal swabs from both anterior nares of HCWs were collected aseptically and cultured on Mannitol Salt agar. S. aureus was identified by Gram stain and standard biochemical tests. Antibiotic susceptibility of S. aureus was performed by disc diffusion method. MRSA isolates were detected phenotypically by disc diffusion method using cefoxitin disc (30 µg), and inducible clindamycin resistance was detected phenotypically by the D-zone test. Results: Total 105 HCWs were enrolled in the study. Out of 105 HCWs, 14 (13.3%) were positive for S. aureus among which 6 (5.7%) were MRSA carriers. The nasal carriage of MRSA was highest among doctors (16.7%) and the HCWs of the post-operative department (14.3%). All the isolated MRSA were susceptible to chloramphenicol and vancomycin. Inducible MLSB resistance was detected in 33.3% MRSA while the rate was 21.4% in all isolated S. aureus. Conclusion: The study demonstrated that HCWs could be the potential source of nosocomial infection by methicillin and inducible clindamycin resistant S. aureus. Thus, preventive measures should be initiated to mitigate the risk of its spread and the test for detection of inducible clindamycin resistance should be incorporated into the routine antibiotic susceptibility testing in hospital settings. IMC J Med Sci. 2024; 18(1):005. DOI: https://doi.org/10.55010/imcjms.18.005 *Correspondence: Gaurab Pandey, Non-Communicable Disease Laboratory, National Public Health Laboratory, Teku, Kathmandu, 44600, Nepal; E-mail: pandeygaurab67@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"31 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135461073","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}
Background and objectives: Distribution of blood group antigen varies among different races. It is important to know the distribution of these antigens so as to provide a donor database that aid in providing compatible blood units for patients with multiple alloantibodies. The present study was conducted to determine the distribution of clinically significant minor blood group antigens amongst the South Indian blood donors. Materials and methods: Blood samples were collected from healthy regular repeat voluntary blood donors of same ethnicity attending a tertiary care hospital in South Kerala. Clinically significant blood antigens of the ABO, Rh (D, C, c, E, and e), Kell, Duffy and Kidd blood group systems were determined. The ABO and Rh(D) grouping were performed by tube technique using monoclonal antisera. Column agglutination technique was used to phenotype Rh, Kell, Duffy and Kidd antigens. Results: Total 200 healthy repeat voluntary blood donors were enrolled in the study. Out of 200 donors, 92% were RhD positive. Among the Rh antigens, the e antigen was positive in 97.8 % and 100% among the Rh(D) positive and Rh(D) negative donors respectively. No E antigen was detected in RhD negative donors. Total 6 and 2 Rh phenotypes were observed among the Rh(D) positive and negative donors respectively. R1R1 and Rr were the most frequent phenotypes among the RhD positive and negative donors (47.28% and 93.75%) respectively. Among the Kell blood group antigens, K and Kpb antigens were present in 100% of our donors while in Duffy and Kidd system Fya and Jka were most predominant (89% and 87%) respectively. Conclusions: The findings of the present study would be helpful in developing in-house panel cells. Moreover, a rare donor registry of donors typed negative for a high-frequency antigen can be formulated. IMC J Med Sci. 2024; 18(1):004. DOI: https://doi.org/10.55010/imcjms.18.004 *Correspondence: Soonam John, Department of Transfusion Medicine, Government Medical College, Parippally, Kollam, Kerala,India. Email: johnsoonam@gmail.com
{"title":"Clinically significant minor blood group antigens amongst South Indian donor population","authors":"Soonam John, Archana Kuruvanplackal Achankunju, Madathingal Sugathan Suma, Sasikala Nadanganan","doi":"10.55010/imcjms.18.004","DOIUrl":"https://doi.org/10.55010/imcjms.18.004","url":null,"abstract":"Background and objectives: Distribution of blood group antigen varies among different races. It is important to know the distribution of these antigens so as to provide a donor database that aid in providing compatible blood units for patients with multiple alloantibodies. The present study was conducted to determine the distribution of clinically significant minor blood group antigens amongst the South Indian blood donors. Materials and methods: Blood samples were collected from healthy regular repeat voluntary blood donors of same ethnicity attending a tertiary care hospital in South Kerala. Clinically significant blood antigens of the ABO, Rh (D, C, c, E, and e), Kell, Duffy and Kidd blood group systems were determined. The ABO and Rh(D) grouping were performed by tube technique using monoclonal antisera. Column agglutination technique was used to phenotype Rh, Kell, Duffy and Kidd antigens. Results: Total 200 healthy repeat voluntary blood donors were enrolled in the study. Out of 200 donors, 92% were RhD positive. Among the Rh antigens, the e antigen was positive in 97.8 % and 100% among the Rh(D) positive and Rh(D) negative donors respectively. No E antigen was detected in RhD negative donors. Total 6 and 2 Rh phenotypes were observed among the Rh(D) positive and negative donors respectively. R1R1 and Rr were the most frequent phenotypes among the RhD positive and negative donors (47.28% and 93.75%) respectively. Among the Kell blood group antigens, K and Kpb antigens were present in 100% of our donors while in Duffy and Kidd system Fya and Jka were most predominant (89% and 87%) respectively. Conclusions: The findings of the present study would be helpful in developing in-house panel cells. Moreover, a rare donor registry of donors typed negative for a high-frequency antigen can be formulated. IMC J Med Sci. 2024; 18(1):004. DOI: https://doi.org/10.55010/imcjms.18.004 *Correspondence: Soonam John, Department of Transfusion Medicine, Government Medical College, Parippally, Kollam, Kerala,India. Email: johnsoonam@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135886036","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}
Background: Hall technique involves cementing preformed metal crowns or stainless steel crowns on the tooth with the use of luting glass ionomer cements, without the use of local anaesthesia, caries removal and tooth preparation of any kind. It can be an intervention to stop the progression of active untreated carious lesion in primary molar teeth among African children. This article reviews the available studies on Hall technique used for the management of carious primary molar teeth among African children. Method: An electronic literature search in Web of science, Scopus, PubMed, Google Scholar, African journals online, ResearchGate and Google was conducted in June, 2023 using the Population-Concept-Context framework. Search terms and keywords were combined by Boolean operators. Three independent investigators (research assistants) screened titles, abstracts and full text of publications. The inclusion criteria were original research articles, case report, case series related to Hall technique for the management of carious primary molar teeth studies conducted in African continent, published in English language and in electronic databases. Results: Four articles were included as they were assessed to meet the aim of the review. The study design of the articles was three randomised controlled clinical trial and one case report. One study was identified each from Egypt, Morocco, Nigeria and Sudan respectively. All the identified studies in African continent were hospital based. Conclusion: Hall technique can be an intervention for management of carious primary molar teeth in resource poor locality in Africa and globally. Studies on Hall technique for the management of carious primary molar teeth identified in Africa were few and restricted to few countries. IMC J Med Sci. 2024; 18(1):003. DOI: https://doi.org/10.55010/imcjms.18.003 *Correspondence:Obehi. O Osadolor, University of Nigeria Teaching Hospital, Ituku- ozalla, Enugu State, Nigeria. E-mail: osadolorobehi@yahoo.com
背景:霍尔技术是指在不使用局部麻醉、除龋和任何牙齿准备的情况下，使用luting玻璃离子水门汀将预制金属冠或不锈钢冠粘接在牙齿上。它可以是一种干预措施，以阻止主动未经治疗的进展，在非洲儿童的初级磨牙龋齿。本文综述了Hall技术在非洲儿童乳牙龋齿治疗中的研究进展。方法:采用Population-Concept-Context框架，于2023年6月对Web of science、Scopus、PubMed、Google Scholar、African journals online、ResearchGate和Google进行电子文献检索。搜索词和关键字由布尔运算符组合。三名独立调查人员(研究助理)筛选出版物的标题、摘要和全文。纳入标准是在非洲大陆进行的与Hall技术治疗龋齿研究相关的原始研究文章、病例报告、病例系列，并以英文和电子数据库发表。结果:四篇文章被纳入，因为它们被评估达到了综述的目的。文章的研究设计为3个随机对照临床试验和1个病例报告。埃及、摩洛哥、尼日利亚和苏丹各确定了一项研究。在非洲大陆确定的所有研究都是以医院为基础的。结论:Hall技术可作为非洲及全球资源贫乏地区乳牙龋病治疗的干预手段。关于Hall技术治疗非洲乳牙龋齿的研究很少，而且仅限于少数国家。中华医学会医学杂志。2024;18(1): 003。DOI: https://doi.org/10.55010/imcjms.18.003 *通信:Obehi。O Osadolor，尼日利亚埃努古州伊图库-奥扎拉尼日利亚大学教学医院。电子邮件:osadolorobehi@yahoo.com
{"title":"Hall technique for the management of carious primary molar teeth among African children - a review","authors":"Obehi O Osadolor","doi":"10.55010/imcjms.18.003","DOIUrl":"https://doi.org/10.55010/imcjms.18.003","url":null,"abstract":"Background: Hall technique involves cementing preformed metal crowns or stainless steel crowns on the tooth with the use of luting glass ionomer cements, without the use of local anaesthesia, caries removal and tooth preparation of any kind. It can be an intervention to stop the progression of active untreated carious lesion in primary molar teeth among African children. This article reviews the available studies on Hall technique used for the management of carious primary molar teeth among African children.\u0000\u0000Method: An electronic literature search in Web of science, Scopus, PubMed, Google Scholar, African journals online, ResearchGate and Google was conducted in June, 2023 using the Population-Concept-Context framework. Search terms and keywords were combined by Boolean operators. Three independent investigators (research assistants) screened titles, abstracts and full text of publications. The inclusion criteria were original research articles, case report, case series related to Hall technique for the management of carious primary molar teeth studies conducted in African continent, published in English language and in electronic databases.\u0000\u0000Results: Four articles were included as they were assessed to meet the aim of the review. The study design of the articles was three randomised controlled clinical trial and one case report. One study was identified each from Egypt, Morocco, Nigeria and Sudan respectively. All the identified studies in African continent were hospital based.\u0000\u0000Conclusion: Hall technique can be an intervention for management of carious primary molar teeth in resource poor locality in Africa and globally. Studies on Hall technique for the management of carious primary molar teeth identified in Africa were few and restricted to few countries.\u0000\u0000IMC J Med Sci. 2024; 18(1):003. DOI: https://doi.org/10.55010/imcjms.18.003\u0000\u0000*Correspondence:Obehi. O Osadolor, University of Nigeria Teaching Hospital, Ituku- ozalla, Enugu State, Nigeria. E-mail: osadolorobehi@yahoo.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84869335","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}
Ahmed Hossain, Hurjahan Banu, Md Shahed Morshed, Shazia Afrine
Background and objectives: Reduction of weight improves different manifestations of polycystic ovary syndrome (PCOS). This study compared the effects of liraglutide plus metformin versus metformin alone on weight loss and metabolic profiles in obese women with PCOS. Methods: This open-label randomized controlled clinical trial consecutively recruited newly-diagnosed PCOS patients of reproductive age with obesity (body mass index ≥ 27.5 kg/m2). Following randomization into two equal groups, Group-1 received treatment with metformin 1000 mg daily alone while Group-2 was given metformin 1000 mg plus subcutaneous (SC) liraglutide 1.2 mg daily for 12 weeks. Anthropometric, biochemical and hormonal data and ovarian morphology were assessed at baseline and after 12 weeks. Clinical information and side effects were recorded every four weeks after initiation of the treatment. Glucose, lipids, and all hormones were analyzed by glucose oxidase, precipitation method, and chemiluminescent microparticle immunoassay respectively. Insulin resistance was measured by homeostatic model assessment (HOMA-IR). Results: Study included 30 participants comprising 15 for each group. Among 15 participants, 5 dropped out from the Group-1 and 1 dropped out from the Group-2. The final analysis was done among 24 participants (Gr-1: 10 and Gr-2: 14). Waist and hip circumference (WC, HC) significantly (p <0.05) decreased in patients treated with only metformin. Menstrual irregularity, BMI (body mass index), HC, systolic blood pressure (BP), 2h-OGTT glucose, fasting insulin, and HOMA-IR significantly (p < 0.05) decreased in the patients of Group-2 after 12 weeks compared to baseline status. Percentage changes of weight, BMI and HOMA-IR improved significantly (p < 0.05) in cases of Group-2 than those in Group-1. Side effects were though numerically higher in the Group-2 patients, but reduced with time. Conclusions: Addition of liraglutide with metformin was superior to metformin alone for lowering of BMI and insulin resistance among obese PCOS women with acceptable side effects. IMC J Med Sci. 2024; 18(1):002. DOI: https://doi.org/10.55010/imcjms.18.002 *Correspondence: Muhammad Abul Hasanat, Room# 1524, Level-15, Block-D, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka-1000, Bangladesh. ORCID iD: orcid.org/0000-0001-8151-9792; Email: aryansowgat@gmail.com
{"title":"Short-term and low-dose liraglutide plus metformin decreased body mass index and insulin resistance more than metformin alone in obese women with polycystic ovary syndrome: An open-label randomized controlled study","authors":"Ahmed Hossain, Hurjahan Banu, Md Shahed Morshed, Shazia Afrine","doi":"10.55010/imcjms.18.002","DOIUrl":"https://doi.org/10.55010/imcjms.18.002","url":null,"abstract":"Background and objectives: Reduction of weight improves different manifestations of polycystic ovary syndrome (PCOS). This study compared the effects of liraglutide plus metformin versus metformin alone on weight loss and metabolic profiles in obese women with PCOS.\u0000\u0000Methods: This open-label randomized controlled clinical trial consecutively recruited newly-diagnosed PCOS patients of reproductive age with obesity (body mass index ≥ 27.5 kg/m2). Following randomization into two equal groups, Group-1 received treatment with metformin 1000 mg daily alone while Group-2 was given metformin 1000 mg plus subcutaneous (SC) liraglutide 1.2 mg daily for 12 weeks. Anthropometric, biochemical and hormonal data and ovarian morphology were assessed at baseline and after 12 weeks. Clinical information and side effects were recorded every four weeks after initiation of the treatment. Glucose, lipids, and all hormones were analyzed by glucose oxidase, precipitation method, and chemiluminescent microparticle immunoassay respectively. Insulin resistance was measured by homeostatic model assessment (HOMA-IR).\u0000\u0000Results: Study included 30 participants comprising 15 for each group. Among 15 participants, 5 dropped out from the Group-1 and 1 dropped out from the Group-2. The final analysis was done among 24 participants (Gr-1: 10 and Gr-2: 14). Waist and hip circumference (WC, HC) significantly (p <0.05) decreased in patients treated with only metformin. Menstrual irregularity, BMI (body mass index), HC, systolic blood pressure (BP), 2h-OGTT glucose, fasting insulin, and HOMA-IR significantly (p < 0.05) decreased in the patients of Group-2 after 12 weeks compared to baseline status. Percentage changes of weight, BMI and HOMA-IR improved significantly (p < 0.05) in cases of Group-2 than those in Group-1. Side effects were though numerically higher in the Group-2 patients, but reduced with time.\u0000\u0000Conclusions: Addition of liraglutide with metformin was superior to metformin alone for lowering of BMI and insulin resistance among obese PCOS women with acceptable side effects.\u0000\u0000IMC J Med Sci. 2024; 18(1):002. DOI: https://doi.org/10.55010/imcjms.18.002\u0000\u0000*Correspondence: Muhammad Abul Hasanat, Room# 1524, Level-15, Block-D, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka-1000, Bangladesh. ORCID iD: orcid.org/0000-0001-8151-9792; Email: aryansowgat@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80437885","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}
Salih Karakoyun, Yasin Haydar Yartaşı, M. Demir, M. Boğan
This case report discusses a patient who presented with dyspnea and presyncope following the Valsalva maneuver. The patient had a history of chronic constipation and experienced difficulty defecating, leading to vigorous straining. Upon arrival at the emergency department, the patient exhibited signs of cardiac tamponade and computed tomography(CT) scan revealed high-density pericardial hemorrhagic effusion. Pericardiocentesis and surgical decompression were performed to manage the tamponade. The patient's symptoms improved and discharged in stable condition. This case highlights the potential fatal complications of constipation, emphasizing the need for a holistic approach in cardiovascular care. IMC J Med Sci. 2024; 18(1):001. DOI: https://doi.org/10.55010/imcjms.18.001 *Correspondence: Mustafa BOĞAN, Emergency Department, School of Medicine, Düzce University, Düzce, Turkey, Posta code: 81620; Email: mustafabogan@hotmail.com; ORCID: 0000-0002-3238-1827
本病例报告讨论了一位在Valsalva手法后出现呼吸困难和晕厥前症的患者。患者有慢性便秘史，排便困难，用力过猛。到达急诊科后，患者表现出心脏填塞的迹象，计算机断层扫描(CT)显示高密度的心包出血积液。心包穿刺和手术减压处理心包填塞。患者症状好转，出院时病情稳定。本病例强调了便秘潜在的致命并发症，强调了在心血管护理中采用整体方法的必要性。中华医学会医学杂志。2024;18(1): 001。DOI: https://doi.org/10.55010/imcjms.18.001*Correspondence: Mustafa BOĞAN，急诊科，医学院，d zce大学，d zce，土耳其，邮政编码:81620;电子邮件:mustafabogan@hotmail.com;ORCID: 0000-0002-3238-1827
{"title":"How fatal can untreated constipation be?","authors":"Salih Karakoyun, Yasin Haydar Yartaşı, M. Demir, M. Boğan","doi":"10.55010/imcjms.18.001","DOIUrl":"https://doi.org/10.55010/imcjms.18.001","url":null,"abstract":"This case report discusses a patient who presented with dyspnea and presyncope following the Valsalva maneuver. The patient had a history of chronic constipation and experienced difficulty defecating, leading to vigorous straining. Upon arrival at the emergency department, the patient exhibited signs of cardiac tamponade and computed tomography(CT) scan revealed high-density pericardial hemorrhagic effusion. Pericardiocentesis and surgical decompression were performed to manage the tamponade. The patient's symptoms improved and discharged in stable condition. This case highlights the potential fatal complications of constipation, emphasizing the need for a holistic approach in cardiovascular care.\u0000\u0000IMC J Med Sci. 2024; 18(1):001. DOI: https://doi.org/10.55010/imcjms.18.001\u0000\u0000*Correspondence: Mustafa BOĞAN, Emergency Department, School of Medicine, Düzce University, Düzce, Turkey, Posta code: 81620; Email: mustafabogan@hotmail.com; ORCID: 0000-0002-3238-1827","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87880761","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}
K. Ray, Vanlaldiki Chhakchhuak, M. Basu, V. Shukla
Background and objectives: Developing screening programmes to lower breast and cervical cancer morbidity and mortality requires a better knowledge of psychological, socioeconomic, and environmental variables that may affect screening behaviours. This study was conducted to assess the knowledge, attitude and practices regarding breast and cervical cancer among women of reproductive age group in a village in West Bengal, India. Materials and methods: A descriptive type of observational study was conducted in village Muchisa of Budge-Budge II block, West Bengal among 300 women from January to June 2022 using a pre-designed, pre-tested, structured schedule by face-to-face interview method. Data were analyzed using SPSS version 25.0 using suitable descriptive and inferential statistics. Results: The mean age of the study participants was 31.6 ± 7.4 years. Out of 300 women, 41.7% and 41.3% had adequate knowledge on breast and cervical cancer respectively. Regarding attitude, 57.3% and 75.3% had highly favourable attitude on breast and cervical cancer respectively. Only 38 (12.7%) had performed breast self-examination at least once whereas only 5.3% had undergone Pap smear test at least once before the survey. Socio-demographic and economic factors of the respondents were significantly (p<0.05) associated with knowledge on breast cancer while none of these factors were found to have statistically significant association with knowledge on cervical cancer. Conclusion: Most of the study population did not have adequate knowledge of breast and cervical cancer, their risk factors and symptoms. Their attitude was positive but practice related to screening was very unsatisfactory. IMC J Med Sci. 2023; 17(2):011. DOI: https://doi.org/10.55010/imcjms.17.021 *Correspondence: Vineeta Shukla, Senior Resident, Department of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India; Email: vineeta1992@gmail.com
{"title":"Knowledge, attitude and practice regarding breast and cervical cancer among women of reproductive age residing in a rural area of West Bengal, India","authors":"K. Ray, Vanlaldiki Chhakchhuak, M. Basu, V. Shukla","doi":"10.55010/imcjms.17.021","DOIUrl":"https://doi.org/10.55010/imcjms.17.021","url":null,"abstract":"Background and objectives: Developing screening programmes to lower breast and cervical cancer morbidity and mortality requires a better knowledge of psychological, socioeconomic, and environmental variables that may affect screening behaviours. This study was conducted to assess the knowledge, attitude and practices regarding breast and cervical cancer among women of reproductive age group in a village in West Bengal, India.\u0000\u0000Materials and methods: A descriptive type of observational study was conducted in village Muchisa of Budge-Budge II block, West Bengal among 300 women from January to June 2022 using a pre-designed, pre-tested, structured schedule by face-to-face interview method. Data were analyzed using SPSS version 25.0 using suitable descriptive and inferential statistics.\u0000\u0000Results: The mean age of the study participants was 31.6 ± 7.4 years. Out of 300 women, 41.7% and 41.3% had adequate knowledge on breast and cervical cancer respectively. Regarding attitude, 57.3% and 75.3% had highly favourable attitude on breast and cervical cancer respectively. Only 38 (12.7%) had performed breast self-examination at least once whereas only 5.3% had undergone Pap smear test at least once before the survey. Socio-demographic and economic factors of the respondents were significantly (p<0.05) associated with knowledge on breast cancer while none of these factors were found to have statistically significant association with knowledge on cervical cancer.\u0000\u0000Conclusion: Most of the study population did not have adequate knowledge of breast and cervical cancer, their risk factors and symptoms. Their attitude was positive but practice related to screening was very unsatisfactory.\u0000\u0000IMC J Med Sci. 2023; 17(2):011. DOI: https://doi.org/10.55010/imcjms.17.021\u0000\u0000*Correspondence: Vineeta Shukla, Senior Resident, Department of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India; Email: vineeta1992@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87211823","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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