Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Reader Login
  • Users Online:217
  • Home
  • Print this page
  • Email this page
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
  Most popular articles (Since June 21, 2013)

 
 
  Archives   Most popular articles   Most cited articles
 
Hide all abstracts  Show selected abstracts  Export selected to
  Viewed PDF Cited
ORIGINAL ARTICLES
The effect of regular physical exercise on the thyroid function of treated hypothyroid patients: An interventional study at a tertiary care center in Bastar region of India
Akash Bansal, Amit Kaushik, CM Singh, Vivek Sharma, Harminder Singh
July-December 2015, 3(2):244-246
DOI:10.4103/2321-4848.171913  
Background: Thyroid hormone is a key substance in normal homeostasis, having variable influence on cell metabolism on different organs. Hypothyroidism is common, potentially serious, often clinically overlooked, readily diagnosed by laboratory testing, and eminently treatable. Aim: This study was conducted with the aim of finding the effect of regular physical exercise of medium-intensity on thyroid function in patients already undergoing treatment for hypothyroidism. Materials and Methods: A total of 20 ambulatory treated hypothyroid patients were included in the study. Serum samples were collected and evaluated for triiodothyronine (T3), thyroxine (T4), thyroid stimulating hormone (TSH) both before and after 3 months of daily 1 h physical exercise, from those patients doing exercise and from those who did not do any physical exercise. T-test was used to find a significant difference between the two groups. Results: Serum TSH was found to be significantly decreased in patients of regular exercise group postinterventionally (P < 0.001) when compared with nonexercise group (P = 0.43). Serum T3 and T4 were also found to be significantly raised in regular exercise group postinterventionally (P = 0.007 and P < 0.001 respectively) but not in nonexercise group (P = 0.92 and P = 0.73 respectively). On inter group comparison significant decrease in TSH was found in regular exercise group (P = 0.002) and significant increase was found in levels of T3 (P = 0.002) and T4 (P = 0.001) in regular exercise group. Mean weight was also found to be decreased in regular exercise group postinterventionally. Conclusion: Every hypothyroid patient should do regular physical exercise along with thyroxine replacement to improve thyroid function.
  23,471 815 1
Knowledge on management of anemia during pregnancy: A descriptive study
Ashly Baby, Jeevan Venugopal, Renita D'silva, Shantia Chacko, PV Vineesha, T Vinaya Kumary
July-December 2014, 2(2):140-144
DOI:10.4103/2321-4848.144308  
Background of the study: The growing fetus depends entirely on its mother's healthy body for all needs. However, sometimes it can be a time of fear of suffering and death, in case women begin pregnancy with low or absent stores of iron because of previous pregnancy, poor iron intake, substance abuse; increased fetal demands of iron leads to iron deficiency anemia. Iron deficiency anemia is the most common form of malnutrition in the world and is the eighth leading cause of death in pregnant women in developing countries leading to the low birth weight, which is in turn an important risk factor for infant mortality. Objectives: To determine the knowledge of antenatal mothers regarding management of anemia during pregnancy. Materials and Methods: Non-experimental descriptive study was conducted to assess the knowledge of antenatal mothers from Yenepoya Medical College Hospital. A sample size consists of 50 antenatal mothers were selected through non-probability purposive sampling. The data was collected by using pretested structured knowledge questionnaire. Data was analyzed using SPSS version 16 and the results expressed as proportions. Results: The majority of the antenatal mothers (54%) had satisfactory knowledge, 38% had poor knowledge, and 8% had good knowledge regarding anemia during pregnancy. Conclusion: The overall knowledge in the study population was 29.9%. Hence, the researcher emphasizes the need for more research to improve the knowledge of antenatal mothers on anemia during pregnancy.
  18,315 1,236 3
MEDICAL HISTORY
Florence Nightingale: The queen of nurses
Asha P Shetty
January-June 2016, 4(1):144-148
DOI:10.4103/2321-4848.183362  
Florence Nightingale, who was called as “the lady with the lamp,” by the sick and injured at Crimean war, has laid down strong foundational principles in nursing. Her multitasked role contributed significantly toward the development of nursing profession into structured institution. As an administrator, educator, researcher Nightingale's contributions moved nursing from disrespectable profession into replacing more of autonomy and evidence-based practice.
  12,964 970 1
CASE REPORTS
Pancreatic pleural effusion: A diagnosis not to be missed!
Sangita Kamath, Rudra Prasad Samanta, Balllamudi Srinivas Rao
July-December 2016, 4(2):218-221
DOI:10.4103/2321-4848.196206  
Pleural effusion as a consequence of acute pancreatitis is transient, usually left-sided; straw colored and accounts for 1% of all the cases. Rarely, it may be right-sided and hemorrhagic causing difficulty in establishing the diagnosis, especially if the chest symptoms are disproportionately more than the abdominal symptoms. We present a case of a young alcoholic male patient with a history of inadequately treated tuberculosis in the past, who presented with massive right pleural effusion, ascites, and right hydrocele and was overtly symptomatic for 1 week before hospital admission. Evaluation of pleural fluid revealed hemorrhagic, lymphocyte predominant exudate with low Adenosine Deaminase (ADA) and high amylase level. Ascitic fluid too showed similar characteristics. His serum amylase level was also elevated which prompted us to make a clinical diagnosis of pancreatic pleural effusion with ascites. Further radiological investigations confirmed the diagnosis of acute pancreatitis. Early pleural fluid amylase testing will certainly avoid a delay in the timely diagnosis.
  12,226 555 1
REVIEW ARTICLES
Is maternal age risk factor for low birth weight?
Radha Y Aras
January-June 2013, 1(1):33-37
DOI:10.4103/2321-4848.113558  
Low birth weight (LBW) is a significant public health concern at global level. LBW is the outcome of interplay of multiple maternal factors. Maternal age is an important variable leading to LBW and preterm births. The literature review was done with extensive search from Medline, the Educational Resources Information Center, and the Combined Health Information Database for publications that identified the studies related to maternal age and birth weight. With exception of few studies which concluded that age did not significantly affect birth weight of newborns, majority of research indicated that a very young maternal age is causally implicated with an increased risk of having LBW and preterm births. Little research has been conducted on births to older mothers, even though such births are becoming increasingly common in developed countries. Advancing maternal age is associated with a decreased potential for fetal growth, possibly reflecting biological aging of maternal tissues and systems or the cumulative effects of disease. Results of multivariate analysis showed a U-shaped relationship between maternal age and LBW among whites, with the youngest (younger than 15) and the oldest (aged 40 and older) mothers being at high risk than 25-29 years old; older teenagers were not at any significantly higher risk. For the black, the risk of LBW rose steeply with maternal age (mothers aged 15-19 years are significantly lower risk than those of 25-29 years for LBW infants).
  11,578 1,196 3
SPECIAL ARTICLES
Moving toward competency-based education: Challenges and the way forward
Thomas V Chacko
July-December 2014, 2(2):247-253
DOI:10.4103/2321-4848.144365  
This article aims at giving a broad overview on competency-based education to those who are currently in the predominantly knowledge focused discipline-based curriculum and so are uninitiated to the competency-based educational paradigm. This is done by taking them through the curricular trends in medical education that have happened elsewhere in the world and providing them with a gist of what is competency-based medical education, how it is different from the earlier paradigms of instruction, the advantages that this paradigm of mastery learning presents to help the learner acquire competencies needed for doing the professional tasks and duties that are in alignment with health needs of the country, the framework and the broad steps involved in its implementation, the challenges that its implementation presents particularly with regard to benchmarking for assessment as revealed by the experiences in the Western world that resulted in a three-decade lag between intention to change and actual change and the way forward to overcome these challenges particularly through faculty capacity-building using longitudinal faculty development programs or series of faculty retreats to ensure that it can be successfully implemented and sustained to serve the purpose of producing job-ready professionals.
  11,116 1,474 3
ORIGINAL ARTICLES
The level of stress and coping mechanism adopted by I Year B.Sc. nursing students
C Viji Prasad, Amrutha Suresh, Dina K Thomas, MK Pritty, Sumaida Beebi, Vijapura Multazim
January-June 2013, 1(1):19-23
DOI:10.4103/2321-4848.113554  
Background: Stress is a fact of life that every human deals with on a daily basis. In the transitional nature of student life in professional courses like nursing, initial period of course is stressful and it adversely affects the emotional, physical, social, and academic functions. Even though the perception and response to stress and way of coping differs individually, it may produce questionable behavioral patterns in student nurses during the course of their study like feeling of loneliness, nervousness, sleeplessness, and worrying. Thus, the student nurse faces a lot of challenges and problems at the time of I Year. Objectives: The present study aimed to determine the level of stress and coping mechanisms adopted by I Year B.Sc. nursing students. Materials and Methods: A total of 60 I Year B.Sc. nursing students were selected by using non-probability convenient sampling technique. The tools used for data collection were perceived stress scale, structured coping scale, and socio- demographic proforma. Results: The studies revealed that majority of students (95.1%) were in the age group of 17-19 years. The results showed that only one student (1.7%) has severe stress, 46.7% has moderate stress, and remaining 51.6% has mild stress, and majority of the students (100) had average coping. There was no significant correlation (-1.167) between stress and coping mechanism of I Year B.Sc. nursing students. Conclusion: Majority of students had mild stress and average coping. The nurse administrator should plan and organize educational program for nursing students, in order to prepare them to cope up with any stressful situations. Hence, the researcher emphasizes the need for more research to improve the knowledge and by applying the research finding for future.
  11,521 1,052 3
Normative data of Modified Functional Reach Test in younger and middle-aged North Eastern Indian population
Priyanka Singh, Nangteidor Hujon
July-December 2013, 1(2):109-114
DOI:10.4103/2321-4848.123018  
Background and Purpose: The modified functional reach test (MFRT) is the objective measure for dynamic sitting balance. It quantifies sitting balance in two directions: Forward and lateral reach. So, the purpose of the study was to 1) provide clinical reference value and 2) examine the factors that may influence the anthropometrics measures. Materials and Methods: A total of 200 apparently healthy subjects participated in this descriptive study. All subjects were divided in two groups: Younger (20-39 yr) and middle-aged (40-59 yr). After anthropometric measurement, all subjects performed test by reaching forward and lateral with a closed fist while sitting. MFRT was taken with 3 trials with 15 sec break in between. Results: The mean score of the forward and lateral reach of right and left in group 1 was higher compared to group 2. The normative value of forward reach in group 1 was 34.05 ± 9.03 cm; for lateral reach right and left, it was 18.2 ± 5.26 cm and 17.32 ± 5.21 cm, respectively. For group 2, normative values for forward reach, lateral right and left were 25.18 ± 5.71 cm, 14.02 ± 3.98 cm and 13.53 ± 4.25 cm, respectively. There was no significant correlation of forward and lateral reach measures with the anthropometric characteristics in both the groups, except trunk length and BMI in group 1, which was significantly correlated ( P < 0.001). Conclusion: This study provides clinical reference value for younger and middle age group subjects while anthropometrics do not affect performance except trunk length and BMI in younger age group.
  10,754 647 1
REVIEW ARTICLES
Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients
N. Retnakumari, S. Divya, S. Meenakumari, P. S. Ajith
January-June 2014, 2(1):36-47
DOI:10.4103/2321-4848.133804  
The nasoalveolar molding (NAM) technique is a new approach to presurgical infant orthopedics that reduces the severity of the initial cleft alveolar and nasal deformity. This technique facilitates the primary surgical repair of the nose and lip to heal under minimal tension, thereby reducing scar formation and improving the esthetic result. NAM technique is the nonsurgical, passive method of bringing the gum and lip together by redirecting the forces of natural growth. NAM has proved to be an effective adjunctive therapy for reducing hard and soft tissue cleft deformity before surgery. This paper reviews the basic principles of NAM therapy, various types of appliances used in this therapy, protocol followed, and a critical evaluation of the advantages and disadvantages of this technique. Universally authors have agreed the positive outcome of NAM for better esthetics after cleft lip and palate (CLP) repair, but the long-term effects of this therapy are yet to be substantiated. Despite a relative paucity of high-level evidence, NAM appears to be a promising technique that deserves further research.
  9,904 1,243 1
Sickle cell disease genetic counseling and testing: A review
John C Aneke, Chide E Okocha
January-June 2016, 4(1):50-57
DOI:10.4103/2321-4848.183342  
The huge burden of sickle cell disease (SCD) coupled with a correspondingly high morbidity and mortality, particularly in Sub-Saharan Africa, has made it really imperative to invest more in ways of reducing the prevalence of this disorder. The SCD genetic counseling and testing have been shown to educate individuals on SCD and also offer those at risk the opportunity of making informed decisions on marriage and pregnancy. We reviewed available data on genetic counseling and testing for SCD, using the PubMed, PubMed Central, Google Scholar, and African Index Medicus search engines, through a combination of words and phrases relevant to the subject and attempted to highlight how this can be better applied in a resource-poor setting such as Nigeria, with a huge disease burden. More advanced countries with significant population of patients with SCD and other hemoglobinopathies have evolved functional genetic and counseling protocols, with remarkable impacts on disease epidemiology; this feat however does not appear to be replicated in a number of African countries. This paper reviewed genetic counseling and testing for SCD in countries with high disease burden, with particular emphasis on Nigeria, which has a disease prevalence and carrier rate of 2-3% and 20-30%, respectively.
  10,213 556 1
Safe surgical practices and asepsis
Ravindra M Shenoy, Archana Shenoy
January-June 2013, 1(1):38-45
DOI:10.4103/2321-4848.113562  
Surgical care has become highly specialized because of scientific advances. It is now possible to handle many health problems successfully with the help of newer and innovative methods. However, to deliver care safely to patients as well as prevent harm to the personnel delivering the same, safe practices have to be followed. In developing nations especially, as modern surgical care percolates the masses, ignoring safe surgical practice may cause more harm than good and the surgeon / procedure may even earn disrepute. This article reviews different aspects of current surgical practice with respect to safe surgical care and asepsis.
  10,096 587 1
CASE REPORTS
A rare case of persistent metopic suture in an elderly individual: Incidental autopsy finding with clinical implications
S Vikram, Jagadish Rao Padubidri, Aswini R. Dutt
January-June 2014, 2(1):61-63
DOI:10.4103/2321-4848.133817  
Metopic suture is a dense fibrous joint extending from the nasion to the bregma. Normally, closure of this suture takes place between 1-8 years of age. Failure of this closure beyond 8 years leads to persistent metopic suture. A rare case of persistent metopic suture in a 60-year-old male is documented, who committed suicide by alleged consumption of organophosphorous compound at District Govt. Wenlock Hospital, Mangalore, Karnataka, India. Metopic suture may mimic skull fracture and may mislead an inexperienced forensic expert. Neurosurgeon should also be aware of this anatomical variation while performing frontal craniotomy, as the persistent metopic suture may mimic vertical fracture of the skull. Hence, in this case report, the clinical and medico-legal implications of the persistent metopic sutures have been discussed.
  9,993 308 -
Radiologic features of intraosseous hemangioma: A diagnostic challenge
Preethi Balan, Subhas Babu Gogineni, Shishir Ram Shetty, Fazil K. Areekat
January-June 2014, 2(1):67-70
DOI:10.4103/2321-4848.133823  
Intraosseous vascular lesions are rare conditions, comprising only 0.5% to 1% of all intraosseous tumors. They present with variable and atypical radiographic appearances. Because of this variation, no pathognomonic sign exists that can be used to make a definite clinical diagnosis of these tumors. But, early diagnosis of central hemangioma is essential for preventing uncontrollable hemorrhage and even death during biopsy or surgery. The purpose of this article is to stress on the importance of radiology in the timely diagnosis of such lesions, which can prevent the disaster not only to the patient but also to oral surgeon in legal and professional aspects.
  9,632 469 1
Plant growth nutrient (nitrobenzene) poisoning with multiple complications
Yatendra Singh, Makrand Singh, Sandeep Raj Saxena, Khalil Mohammad
January-June 2015, 3(1):97-100
DOI:10.4103/2321-4848.154956  
Nitrobenzene, a pale yellow oily liquid with an odor of bitter almonds, is used in the synthesis of Aniline dyes, flavoring agent, and also in rubber industry. Recently it is also used as a plant growth nutrient. It causes methemoglobinemia with symptoms including headache, nausea, dizziness, fatigue, shortness of breath, cyanosis, and convulsions. Severe acute exposure to nitrobenzene can cause jaundice, renal failure, and coma, and it may be fatal. We report a case of Plant growth nutrient (nitrobenzene) poisoning with multiple complications like hemolytic anemia, renal failure, seizures, and pneumonia. Patient was managed with intravenous methylene blue along with other supportive therapy and survived. So, early aggressive management and a watch on complications might be helpful in saving patient's life from this poisoning.
  9,285 317 -
MEDICAL EDUCATION
Perceived stress among medical students: To identify its sources and coping strategies
Shubhada Gade, Suresh Chari, Madhur Gupta
January-June 2014, 2(1):80-86
DOI:10.4103/2321-4848.133845  
Context: Stress in medical education is common and process-oriented. It often exerts a negative effect on their academic performance, physical health, and psychological well being. Aims: This study aims at identification of such susceptible students in the early stage i.e. first year of medical education, and to provide them essential support in the form of an intervention program to lessen the negative consequences of stress. Materials and Methods: A cross-sectional survey was carried out among the First MBBS students of NKP Salve Institute of Medical Sciences and Research Center, Nagpur, India. A 41-item questionnaire was designed to assess the sources of stress and their severity. Likert's 5-point scale was used to quantify the extent of severity on each item. Coping strategies adopted by students were assessed by using a 22-item stress inventory, and a questionnaire based on 19 institutional stress-reducing factors was used to identify its role. Results: The survey resulted into an overall response rate of 87% (131 out of 150 students). Median stress level based on 41 items was evaluated for each student. About 29% (40 students) had median stress level greater than 3. Female students were more stressed (17.19%) than male students (14.93%). The study revealed that students generally adopt active coping strategies rather than avoidant strategies like alcohol and drug abuse. The study indicated that emotional support system is a major stress-relieving factor for students. Conclusion: Prevalence of perceived stress is high among medical students. It seems that academic-related problems are greater perceived stressors. Review of academics, exam schedules and patterns, better interaction with the faculty and proper guidance, intervention programs and counseling could certainly help a lot to reduce stress in medical students.
  8,576 839 2
CASE REPORTS
Asymptomatic reversible lesion on tongue: A case series in pediatric patients
Vela D Desai, Swati Phore, Pallavi Baghla
January-June 2015, 3(1):113-116
DOI:10.4103/2321-4848.154960  
Tongue is a sensitive organ of the oral cavity that is responsible for many vital functions like taste, swallowing, speech, mastication, speaking and breathing. Geographic tongue is a frequently encountered oral condition with a controversial etiology. Since it is an asymptomatic condition known to resolve completely on its own, it is usually discovered during routine clinical examinations. Furthermore, it warrants treatment only when it becomes symptomatic. It can be present on any surface of the tongue but the commonest site is dorsal surface, where it characteristically presents with a migratory pattern that changes in location. This case report describes the uncommon occurrence of the tongue lesion diagnosed in children which is seldom reported in the pediatric literature.
  8,635 260 -
MEDICAL HISTORY
Changing concept of disease prevention: From primordial to quaternary
Harshal Tukaram Pandve
July-December 2014, 2(2):254-256
DOI:10.4103/2321-4848.144366  
  7,639 932 1
SPECIAL ARTICLES
Dental ergonomics: Basic steps to enhance work efficiency
Abdul Rahim Shaik
January-June 2015, 3(1):138-144
DOI:10.4103/2321-4848.154966  
The nature of the dental profession and the postures assumed by the dental surgeons during their professional work has a huge impact on the dental surgeon's body and carries with it a high risk of musculoskeletal disorders (MSDs). To perform efficiently and effectively, they shall always like to attain a position that allows them to achieve optimum access, visibility, comfort, and control at all times. Good ergonomic design of the workplace is a basic requirement for facilitating the balanced musculoskeletal health that will enable longer, healthier career, enhance productivity, and minimize MSDs among dental surgeons. While treating the patients, they are concerned about patients' comfort and pay little attention to their own health till they begin to experience discomfort in their body. With a little attention and creativity, dental surgeons can improve their comfort on the job during the course of their career.
  7,442 832 1
ORIGINAL ARTICLES
Histopathological features of Papillary Thyroid Carcinoma with special emphasis on the significance of nuclear features in their diagnosis
Deepa Thomas Kunjumon, Krishnaraj Upadhyaya
January-June 2014, 2(1):16-22
DOI:10.4103/2321-4848.133786  
Background: Papillary carcinoma (PTC) is the most common thyroid malignancy comprising 80-85%. In addition to papillary architecture, nuclear features like clear, ground glass or Orphan Annie-eyed appearance, oval shape, increased nuclear size, hypodense chromatin, intranuclear cytoplasmic inclusions, nuclear grooving, nuclear overlapping, and mitotic figures play a vital role in the diagnosis although some of the features may be seen in other diseases of thyroid. Objectives: To evaluate and establish the diagnostic significance of each nuclear feature in PTC. Settings and Design: Among the thyroidectomy specimens received in the department of pathology, only the PTC cases were chosen. Multiple sections were studied from the tumor by two different pathologists with a special emphasis on morphological and nuclear features. Statistical analysis: Fischer's exact test was done to find the correlation between the grading of nuclear features and cell population. Materials and Methods: Forty-one PTC cases were studied. Many H and E-stained slides of the tumor were studied by two different pathologists, and average of both observers was analyzed with special reference to nuclear features in classical and other variants of PTC. Results: The study evaluated that the ground glass nuclei, nuclear grooving, and nuclear overcrowding were the most common features seen in all (100%) cases though percentage of cells exhibiting these features varied from tumor to tumor. Other features mentioned above were less frequently encountered (42%-95%). Conclusion: In PTC, especially in variants, nuclear features are of utmost importance as they have to be differentiated from other thyroid diseases presenting with similar architectural morphology. Hence, more tissue sections have to be screened.
  7,609 512 1
Antianxiety effect of ethanolic extract of leaves of Moringa oleifera in Swiss albino mice
Shankar K. Bhat, Anu Elizabeth Joy
January-June 2014, 2(1):5-7
DOI:10.4103/2321-4848.133771  
Background: Anxiety disorder is one of the most common mental ailments exhibited by humans. It can cause considerable distress and debility. Anxiety is portrayed as a frame of mind concerned about future in association with preparation for possible, upcoming undesirable happenings. The present treatment for the disorder is having a lot of side-effects. An agent with good therapeutic effect and less side-effects is needed for the treatment of anxiety. Objectives: To investigate the anxiolytic activity of ethanolic extract of Moringa oleifera leaves in Swiss albino mice. Materials and Methods: The ethanolic extract of leaves of Moringa oleifera (200 mg/kg, i.p) was studied for its anxiolytic effect on Swiss albino mice by using Elevated Plus Maze (EPM) and Light Dark Arena (LDA) test. Results: The ethanolic extract of the leaves of Moringa oleifera (200 mg/kg, i.p) demonstrated significant (P < 0.001) anxiolytic activity in EPM and LDA models of anxiety. Conclusion: The data suggests that the ethanolic extract of Moringa oleifera leaves may have produced its anxiolytic effects via multiple mechanisms.
  7,114 539 -
Antimicrobial properties of coconut husk aqueous extract on cariogenic bacteria
Maria B Cyriac, Vidya Pai, Manjula Shantaram, Maji Jose
July-December 2013, 1(2):126-130
DOI:10.4103/2321-4848.123024  
Background and Objectives: The husk fibers of coconut (Cocos nucifera) are reported to be used by people of rural areas of South India for daily cleaning their teeth. As the beneficial effects of this plant material, with respect to antimicrobial properties against common cariogenic bacteria, are not scientifically proven, the present study was conducted. Materials and Methods: The husk of coconut was collected and aqueous extract was prepared and antimicrobial properties against common oral pathogens like Streptococcus mutans, Streptococcus salivarius, Streptococcus mitis, and Lactobacillus acidophilus were performed by agar well diffusion method. The values obtained were then subjected to statistical analysis using one way ANOVA and Tukey HSD. Results: Aqueous extract of coconut husk showed a concentration-dependent antimicrobial activity against different tested organisms with zone of inhibition ranging from 4.44 to 15.33 mms. However, the efficacy was less in comparison to chlorhexidine. Conclusion: Inhibitory action against cariogenic bacteria exhibited by aqueous extract of coconut husk indicate presence of highly effective active compounds in these extracts, which can be identified and incorporated into modern oral care systems for controlling dental caries.
  6,583 630 -
MEDICAL HISTORY
The rise of physical therapy: A history in footsteps
Abdul Rahim Shaik, Arakkal Maniyat Shemjaz
July-December 2014, 2(2):257-260
DOI:10.4103/2321-4848.144367  
  6,787 381 -
ORIGINAL ARTICLES
Prevalence of diabetes and hypertension among a tribal population in Tamil Nadu
Shankar Radhakrishnan, Manivanan Ekambaram
January-June 2015, 3(1):66-71
DOI:10.4103/2321-4848.154948  
Background: Diabetes and hypertension is affecting at an alarming rate in both rural and urban populations in India and very few studies had been carried out among the tribal population. Objective: To determine the prevalence rate of type 2 diabetes mellitus and hypertension and its associated risk factors among the tribal population in Salem District in Tamil Nadu. Materials and Methods: A total of about 525 tribal population above 40 years of age from various tribal places in Yercaud. All of them were screened for diabetes, by checking the random blood glucose levels and blood pressure, body mass index, dietary patterns, and physical activity levels were also recorded. Their knowledge about diabetes was also assessed by a set of 10 questions. Results: Among the study population, people who had RBS ΃ 200 was 28 (male = 11 and female = 17) and between 140 and 200 were 39 (male = 18 and female = 21) and people whose were in the prehypertensive stage was 185 (males 92 and female 93) and people in the stage 1 hypertension was 102 (male = 47 and female = 54) and in stage 2 hypertension was 64 (male = 33 and female = 29). The co-morbidity (diabetes and hypertension) was present in among 45 (male = 25 and female = 20). Among the study population only 1 was obese and 39 were overweight. Among the various risk factors smoking, alcohol and positive family history were found to have a statistical significant association for males whereas among females only the family history was found to have a statistically significant association for both diabetes and hypertension. The knowledge of diabetes among the study population was very poor. None of them were aware about the normal levels of blood sugar and the risk factors. Conclusion: The study documented that the prevalence of diabetes and hypertension is increasingly high in the tribal areas and their awareness levels were very poor.
  6,767 359 1
Effectiveness of structured teaching program on knowledge and practices of staff nurses on prevention of intravenous cannulae complications
Kanishka George, Bharti Muninarayanappa
July-December 2013, 1(2):115-119
DOI:10.4103/2321-4848.123020  
Infectious rates and peripheral intravenous cannulae-associated complications are very common in patients with intravenous therapy. This study was aimed to assess the incidence of intravenous cannulae complications among patients after 72 hours in situ and to examine the impact of structured teaching program on knowledge and practices of staff nurses. In this study, researcher used descriptive and quasi-experimental approach; a non-probability convenient sampling technique was adopted to select 80 staff nurses, each 40 in experimental and 40 in control group. 67.79% of patients developed peripheral intravenous cannulae-related complications with grade 1 (33.05%) and grade 2 (34.74%) complications. Result revealed that it was highly significant at 0.05 level (t = 9.978; P < 0.05) for knowledge and not significant (t = 0.974; P > 0.05) for practice. The post-test knowledge found to be highly significant at 0.05 level (t = 3.909; P < 0.05), whereas practice score was not significant (t = 0.426; P > 0.05). It could be inferred that there is no significant difference between the pre-test and post-test practice score of staff nurses who attended the structured teaching program regarding prevention of intravenous cannulae complications.
  6,207 610 2
CASE REPORTS
Magnetic Resonance Imaging: An accurate diagnostic tool in the precise localization of penile fracture
Mujeeb M Rahiman, T Manasa, Devadasa Acharya Koteshwara
January-June 2013, 1(1):54-56
DOI:10.4103/2321-4848.113572  
An 18-year-old male presented with history and clinical findings suggestive of penile fracture. An MRI demonstrated disruption of the tunica albuginea and corpora cavernosa on the left dorso-lateral aspect, mid-shaft of penis with adjacent hematoma, and subcutaneous edema. At surgery, imaging findings were found to be accurate, and the penis was successfully repaired with minimal postoperative morbidity.
  6,421 284 1
Feedback
Subscribe