Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_29_22
Aghore Debbarma, A. Mohanty, T. Reang
Introduction: Prehypertension is defined as an independent category of blood pressure (BP) by the seventh joint national committee on prevention, detection, evaluation, and treatments of BP. Systolic BP (SBP) between 120 and 139 mm Hg or diastolic BP between 80 and 89 mm Hg are considered to have prehypertension. BP ≥140/90 mm Hg is considered hypertension. It is to assess the prevalence of prehypertension and hypertension among urban school-going children. Materials and Methods: A cross-sectional study was conducted among 1011 school-going children of both sexes within 12–17 years of age group and each participant was selected using a simple random sampling technique. Pretested predesigned questionnaire was used for data collection. Results: Prevalence of normotensive, prehypertensive, and hypertensive were 73.6%, 19.4%, and 7%, respectively, when both systolic and diastolic components have been taken into account. Conclusion: This study has showed that more than 19% prehypertensive and 7% hypertensive among the school-going children aged between 12 and 17 years when both systolic and diastolic components have been taken into account.
前言:高血压前期被第七届高血压预防、检测、评估和治疗全国联合委员会定义为一个独立的血压(BP)类别。收缩压(SBP)在120 - 139毫米汞柱之间或舒张压在80 - 89毫米汞柱之间被认为是高血压前期。血压≥140/90 mm Hg为高血压。目的是评估城市学龄儿童高血压前期和高血压的患病率。材料与方法:采用简单随机抽样的方法,对1011名12-17岁的在校男女儿童进行了横断面研究。采用预先测试的预先设计的问卷进行数据收集。结果:当考虑收缩期和舒张期因素时,正常血压、高血压前期和高血压的患病率分别为73.6%、19.4%和7%。结论:本研究表明,在考虑收缩期和舒张期因素的12 - 17岁学龄儿童中,超过19%的人患有高血压前期,7%的人患有高血压。
{"title":"Study of prevalence of prehypertension and hypertension among urban school-going children in Tripura","authors":"Aghore Debbarma, A. Mohanty, T. Reang","doi":"10.4103/jopcs.jopcs_29_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_29_22","url":null,"abstract":"Introduction: Prehypertension is defined as an independent category of blood pressure (BP) by the seventh joint national committee on prevention, detection, evaluation, and treatments of BP. Systolic BP (SBP) between 120 and 139 mm Hg or diastolic BP between 80 and 89 mm Hg are considered to have prehypertension. BP ≥140/90 mm Hg is considered hypertension. It is to assess the prevalence of prehypertension and hypertension among urban school-going children. Materials and Methods: A cross-sectional study was conducted among 1011 school-going children of both sexes within 12–17 years of age group and each participant was selected using a simple random sampling technique. Pretested predesigned questionnaire was used for data collection. Results: Prevalence of normotensive, prehypertensive, and hypertensive were 73.6%, 19.4%, and 7%, respectively, when both systolic and diastolic components have been taken into account. Conclusion: This study has showed that more than 19% prehypertensive and 7% hypertensive among the school-going children aged between 12 and 17 years when both systolic and diastolic components have been taken into account.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"41 1","pages":"24 - 27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83599613","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}
Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_18_22
V. Vinay, S. Munjal, M. Kanna, Sandeep Jain, Paras Verma, M. Arunachalam
Spinal muscular atrophy (SMA) type 2 is a neuromuscular disorder of childhood with high morbidity and mortality caused by the deletion of SMN1 gene (gene 1 of motor neuron survival), located at chromosome 5. It is the respiratory complications that account for the majority of deaths in SMA. This report describes an 18-year-old male patient diagnosed with SMA type 2, who had shortness of breath for 2 weeks and cough for 1 week. CT-Thorax revealed left lung collapse due to mucoid impaction in the left main bronchus. Bronchoscopy was challenging in this case due to severe kyphoscoliosis, and impacted mucus was extracted using bronchoscopy-guided forceps biopsy. Repeat X-ray of the chest following treatment showed no evidence of collapse, and patient was discharged in a stable condition with mucolytics and antibiotics.
{"title":"Respiratory failure in spinal muscular atrophy: A case report and review of literature","authors":"V. Vinay, S. Munjal, M. Kanna, Sandeep Jain, Paras Verma, M. Arunachalam","doi":"10.4103/jopcs.jopcs_18_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_18_22","url":null,"abstract":"Spinal muscular atrophy (SMA) type 2 is a neuromuscular disorder of childhood with high morbidity and mortality caused by the deletion of SMN1 gene (gene 1 of motor neuron survival), located at chromosome 5. It is the respiratory complications that account for the majority of deaths in SMA. This report describes an 18-year-old male patient diagnosed with SMA type 2, who had shortness of breath for 2 weeks and cough for 1 week. CT-Thorax revealed left lung collapse due to mucoid impaction in the left main bronchus. Bronchoscopy was challenging in this case due to severe kyphoscoliosis, and impacted mucus was extracted using bronchoscopy-guided forceps biopsy. Repeat X-ray of the chest following treatment showed no evidence of collapse, and patient was discharged in a stable condition with mucolytics and antibiotics.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"43 1","pages":"28 - 31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83885251","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}
{"title":"A study of psychiatric comorbidities in patients of bipolar disorder with and without attention deficit hyperactivity disorder during euthymic phase","authors":"ManishKumar Goyal, VikashChandra Mishra, Gunjan Solanki, Dharmdeep Singh","doi":"10.4103/jopcs.jopcs_9_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_9_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135311677","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}
Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_41_22
D. Chakraborty, Nirmalya Ray, Aditya N. Choudhary, Sanjay Bhaumik
{"title":"An interesting case of giant cell arteritis and stroke","authors":"D. Chakraborty, Nirmalya Ray, Aditya N. Choudhary, Sanjay Bhaumik","doi":"10.4103/jopcs.jopcs_41_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_41_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79747480","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}
Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_16_22
S. Mohanty, G. Purohit, A. Dey
In developing countries like India, unhygienic practices such as open-air defecation, keeping untrimmed nails, or eating food fallen on the ground have been observed to be important risk factors for parasitic infections such as soil-transmitted helminths. We report a case of polyparasitic infection with hookworm, Strongyloides stercoralis, and Giardia intestinalis in an adult who resorted to open defecation with the "use of open footwear" in the fields despite having a toilet at home, to re-emphasize the harmful health effects of such unhygienic practices, and create awareness for stringent behavioral modifications for leading a healthy life and establishment of a safe and hygienic community.
{"title":"A case of polyparasitic infection due to hookworm, Strongyloides stercoralis, and Giardia intestinalis: The need for a stringent behavioral modification","authors":"S. Mohanty, G. Purohit, A. Dey","doi":"10.4103/jopcs.jopcs_16_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_16_22","url":null,"abstract":"In developing countries like India, unhygienic practices such as open-air defecation, keeping untrimmed nails, or eating food fallen on the ground have been observed to be important risk factors for parasitic infections such as soil-transmitted helminths. We report a case of polyparasitic infection with hookworm, Strongyloides stercoralis, and Giardia intestinalis in an adult who resorted to open defecation with the \"use of open footwear\" in the fields despite having a toilet at home, to re-emphasize the harmful health effects of such unhygienic practices, and create awareness for stringent behavioral modifications for leading a healthy life and establishment of a safe and hygienic community.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"61 1 1","pages":"35 - 37"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77574765","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}
{"title":"Prevalence of depression and associated risk factors in the elderly population of rural area of West Tripura District: A cross-sectional study","authors":"Taranga Reang, Mishuk Das, Amar Tripura, Subrata Baidya","doi":"10.4103/jopcs.jopcs_16_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_16_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135311074","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}
{"title":"Hirayama Disease: Reappraisal of a benign and nonprogressive anterior horn cell disease","authors":"Monica Gupta, Vivek Naveen, Saurabh Gaba, Ravinder Kaur","doi":"10.4103/jopcs.jopcs_53_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_53_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135312366","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}
Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_19_23
Swaminathan Ramasubramanian
{"title":"Maximizing patient safety with ChatGPT: A novel method for calculating drug dosage","authors":"Swaminathan Ramasubramanian","doi":"10.4103/jopcs.jopcs_19_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_19_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135311362","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: Coronavirus outbreak severely affected the psychological health of frontline health-care workers, including nurses. Nurses relatively face many more psychological problems compared to other health-care workers. This study aimed to assess nurses' fear, stress, and anxiety status during the Omicron, a new variant of the severe acute respiratory syndrome coronavirus 2, outbreak in India. Materials and Methods: This questionnaire survey included 350 frontline nurses working at a tertiary care teaching hospital in North India. The information was collected using the Coronavirus Anxiety Scale, Impact of Event Scale-Revised, and Fear of COVID-19 Scale. Nurses working in the hospital since COVID-19 outbreak were included in the study. Appropriate descriptive and inferential statistics were applied to compute the results. Results: Nurses hospitalized after contracting an infection (odds ratio [OR] – 3.492, 95% confidence interval – 1.644–9.442, P < 0.002) and attended training on COVID-19 (OR – 2.644, 95% CI – 1.191–5.870, P < 0.017) reported high distress than their counterparts. Likewise, nurses hospitalized after contracting an infection (β = 3.862, P < 0.001 vs. β = 2.179, P < 0.001) and have no training exposure on COVID-19 management and care (β = 2.536, P = 0.001 vs. β = 0.670, P = 0.039) reported higher fear and anxiety, respectively. Likewise, married participants (β = 1.438, P < 0.036) who lost their friends and colleagues in the pandemic (β = 0.986, P = 0.020) reported being more frightened and anxious. Conclusions: Participants reported experiencing psychological burdens, especially nurses hospitalized after contracting an infection and who lost their friends and colleagues to COVID-19. High psychological distress may be a potential indicator of future psychiatric morbidity. Authors recommend a variant-specific training to improve nurses' mental health to combat the pandemic.
背景:新型冠状病毒疫情严重影响了包括护士在内的一线医护人员的心理健康。与其他卫生保健工作者相比,护士相对面临更多的心理问题。本研究旨在评估护士在印度严重急性呼吸综合征冠状病毒2的新变种欧米克隆爆发期间的恐惧、压力和焦虑状态。材料与方法:本问卷调查对象为印度北部某三级护理教学医院的350名一线护士。使用冠状病毒焦虑量表、事件影响量表-修订版和对COVID-19的恐惧量表收集信息。自COVID-19爆发以来在医院工作的护士被纳入研究。适当的描述性和推断性统计应用于计算结果。结果:感染后住院的护士(优势比[OR] - 3.492, 95%可信区间- 1.644 ~ 9.442,P < 0.002)和参加过新冠肺炎培训的护士(优势比[OR] - 2.644, 95% CI - 1.191 ~ 5.870, P < 0.017)的焦虑程度高于同行。同样,感染后住院的护士(β = 3.862, P < 0.001 vs. β = 2.179, P < 0.001)和没有接受过COVID-19管理和护理培训的护士(β = 2.536, P = 0.001 vs. β = 0.670, P = 0.039)分别报告了更高的恐惧和焦虑。同样,在大流行中失去朋友和同事的已婚参与者(β = 1.438, P < 0.036) (β = 0.986, P = 0.020)报告说,他们更害怕和焦虑。结论:参与者报告了心理负担,尤其是感染后住院的护士,以及因COVID-19失去朋友和同事的护士。高度的心理困扰可能是未来精神疾病的潜在指标。作者建议进行针对变异的培训,以改善护士的心理健康,以抗击疫情。
{"title":"Severe acute respiratory syndrome coronavirus 2 Omicron variant and psychological distress among frontline nurses in a major COVID-19 center: Implications for supporting psychological well-being","authors":"Hanita Dahiya, Harshita Goswami, Chanchal Bhati, E. Yadav, Bhanupriya, D. Tripathi, Deepa Rani, Deepika, Gayatri Pal, Geeta Saini, Lalita Yadav, Rajesh Kumar","doi":"10.4103/jopcs.jopcs_22_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_22_22","url":null,"abstract":"Background: Coronavirus outbreak severely affected the psychological health of frontline health-care workers, including nurses. Nurses relatively face many more psychological problems compared to other health-care workers. This study aimed to assess nurses' fear, stress, and anxiety status during the Omicron, a new variant of the severe acute respiratory syndrome coronavirus 2, outbreak in India. Materials and Methods: This questionnaire survey included 350 frontline nurses working at a tertiary care teaching hospital in North India. The information was collected using the Coronavirus Anxiety Scale, Impact of Event Scale-Revised, and Fear of COVID-19 Scale. Nurses working in the hospital since COVID-19 outbreak were included in the study. Appropriate descriptive and inferential statistics were applied to compute the results. Results: Nurses hospitalized after contracting an infection (odds ratio [OR] – 3.492, 95% confidence interval – 1.644–9.442, P < 0.002) and attended training on COVID-19 (OR – 2.644, 95% CI – 1.191–5.870, P < 0.017) reported high distress than their counterparts. Likewise, nurses hospitalized after contracting an infection (β = 3.862, P < 0.001 vs. β = 2.179, P < 0.001) and have no training exposure on COVID-19 management and care (β = 2.536, P = 0.001 vs. β = 0.670, P = 0.039) reported higher fear and anxiety, respectively. Likewise, married participants (β = 1.438, P < 0.036) who lost their friends and colleagues in the pandemic (β = 0.986, P = 0.020) reported being more frightened and anxious. Conclusions: Participants reported experiencing psychological burdens, especially nurses hospitalized after contracting an infection and who lost their friends and colleagues to COVID-19. High psychological distress may be a potential indicator of future psychiatric morbidity. Authors recommend a variant-specific training to improve nurses' mental health to combat the pandemic.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"148 1","pages":"10 - 16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77935583","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}
Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_8_23
Himel Mondal, Sudip Bhattacharya
{"title":"Sarcopenic obesity: A new challenge for primary care physicians","authors":"Himel Mondal, Sudip Bhattacharya","doi":"10.4103/jopcs.jopcs_8_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_8_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"81 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79331465","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}