Τρίτη, 27 Σεπτεμβρίου 2016

Impact of educational intervention regarding anaemia and its preventive measures among adolescent girls of Government Commerce College of Gandhinagar city, Gujarat, India

2016-09-27T11-20-34Z
Source: International Journal of Medical Science and Public Health
P B Verma, Nilesh Thakor.
Background: Adolescent girls are at a high risk for anaemia and malnutrition. Objective: To assess knowledge of adolescent girls regarding anaemia and its preventive measures before and after educational interventional training. Material and Methods: The present study was an interventional study, undertaken in purposively selected Government Commerce College of Gandhinagar city during JulyAugust 2016 by Department of Community Medicine, GMERS Medical College, Gandhinagar. Total 100 adolescent girls between the age group of 1719 were included after written informed consent. Baseline knowledge of adolescent girls regarding anaemia and its preventive measures was assessed by pre-designed, pre-tested and semi-structured questionnaire. Single educational interventional training for 45 minutes was given to the selected adolescent girls. Postintervention knowledge of students for the same was assessed after training. Thus collected data was analyzed using SPSS 17 (trial version). Result: Baseline knowledge of the adolescent girls regarding causes, signs, and symptoms of anaemia and dietary sources of iron was 21%, 23%, and 40%, respectively which was significantly increased to 64%, 66%, and 72%, respectively after the intervention. Baseline knowledge of the adolescent girls regarding factors which inhibit and increase iron absorption was 25% and 4%, respectively which was significantly increased to 55% and 41%, respectively after the intervention. Baseline knowledge of the adolescent girls regarding treatment of anaemia was 30% which was significantly increased to 79% after the intervention. Conclusion: There was a significant improvement in the knowledge regarding anaemia and its preventive measures among adolescent girls of college after our single educational session.


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Concomitant aortic regurgitation is a predictor of outcome after surgical aortic valve replacement in patients with severe aortic stenosis

2016-09-27T11-20-34Z
Source: International Journal of Medical Science and Public Health
Prashant Mishra, Chandan Kumar Ray Mohapatra, Jayant V Khandekar, Chaitanya Raut, Harsh S Seth, Ganesh Kumar K Ammannaya, Jaskaran Singh, Vaibhav Shah.
Background: Concomitant aortic regurgitation (AR) might worsen the prognosis of severe aortic stenosis (AS). But the prognostic value of concomitant AR in patients operated for severe AS is not addressed. Objective: The aim of this study was to assess the impact and association of presence and severity of concomitant AR in patients operated for severe AS on long-term left ventricular (LV) function, functional capacity, and mortality. Materials and Methods: Study group consisted of 200 patients operated due to severe AS retrospectively. The patients were divided into AS group (100 patients with AS without AR or with mild AR) and AS+AR group (100 patients with AS and moderate, severe or very severe AR). Follow-up included a clinical examination and echocardiography 530 months after AVR. Result: Patients in AS group had improved symptoms than AS+AR group. The patients with postoperative follow-up in AS group had lower LV volume indices than patients in AS+AR which was statistically significant(AS group; LVEDVi - 67±9.1, LVESVi - 22±7.2 compare to AS+AR group; LVEDVi - 84±21.3, LVESVi - 34±11, p-value

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Knowledge, attitude and practice regarding hepatitis B among medical students

2016-09-27T07-06-45Z
Source: International Journal of Community Medicine and Public Health
Syed Faisal Hussain, Sultan Rizwan Ahmad, Osman Mohammed Muslehuddin, Husam Mohammed Muslehuddin.
Background: Hepatitis means inflammation of the liver cells. Main cause of hepatitis is viral infection by hepatitis B virus. Hepatitis B is a serious, global, public health problem that gives rise to hepatocellular carcinoma with a mortality rate of about 600000 people worldwide. Medical students are also vulnerable to acquire this infection. Methods: A cross-sectional study aimed to evaluate knowledge, attitude and practice regarding spread, risk factors, diagnosis and treatment of Hepatitis B was undertaken amongst 341 undergraduate medical students using a standardized questionnaire. In addition to this awareness regarding post exposure prophylaxis and vaccination status of hepatitis B among the students were also studied. Results: In the present study 98.8% of medical students had correct knowledge regarding vaccine for hepatitis B. Study showed good knowledge regarding spread and risk factors for hepatitis B. 98.5% of the students gave the correct answer that hepatitis B is diagnosed by hepatitis markers test. Regarding treatment, 98.2% said that vaccination is the choice for treatment of hepatitis B. With respect to post exposure prophylaxis 97.1% said that vaccination is main source of post exposure prophylaxis and 91.8% said that HBIg is used for post exposure prophylaxis. Regarding the vaccination status of students for hepatitis B, 26.7% were fully vaccinated and 36.4 % were partially vaccinated and 37% were unvaccinated. Conclusions: This study showed that knowledge and attitude of medical students are good towards hepatitis B but practice is not sufficient as 1/3rd of students are unvaccinated.


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Two stage flexor tendon reconstruction in hand: our experience

2016-09-27T06-28-20Z
Source: International Journal of Research in Medical Sciences
Tawheed Ahmad, Mir Mohsin, Mohammad Inam Zaroo, Sheikh Adil Bashir, Adil Hafeez Wani, Haroon Rashid Zargar, Altaf Rasool, Peerzada Umar Farooq Baba, Akram Hussain Bijli, Summaira Jan, Saima Rashid, Shabir Ahmad Langoo, Mushtaq Ahmed Bhat.
Background: Flexor tendon injuries in the digital flexor sheath area (zone II) are the most difficult to treat and remain a focus of both clinical attention and basic investigations. This prospective study was designed to evaluate the results of staged zone II flexor tendon repair. Methods: Seventy digits in thirty five patients were treated by Two Stage flexor tendon reconstruction and followed for an average of one and a half year. The procedure included placing a silicone catheter (cut to desire size) as an active implant and reconstruction of A2, A4 or both pulleys if damaged in first stage. During the second stage (performed three to eight months later), tendon graft replaced the silicone catheter in the pseudo sheath formed around the catheter. The proximal end of the transplanted tendon was fixed with flexor digitorum profundus tendon of respective finger using the Pulvertaft method, and the distal end of the graft was fixedwith the distal stump of respective flexor digitorum profundus tendon. Early controlled motion protocol was instituted in all cases. Results: As per Buck Gramcko scale total active motion obtained was Excellent in 70%, Good in 20%, Fair in 7.1%, and Poor in 2.9% of patients. Conclusions: Flexor tendon reconstruction using two stage tendon reconstructions is an effective way to restore digital tendon function in delayed zone II flexor tendon injuries.


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