Open Access journal ISSN (Print) 2347-3665 - ISSN (Online) 2347-8020 This journal is no longer being updated because: the publisher no longer provides RSS feeds
Authors:Angana Sinharay, Smiti R Srivastava, Purban Ganguly, Asif Ayub, Jit Bhunia, Asim K Ghosh Pages: 157 - 160 Abstract: Angana Sinharay, Smiti R Srivastava, Purban Ganguly, Asif Ayub, Jit Bhunia, Asim K Ghosh D Y Patil Journal of Health Sciences 2022 10(4):157-160 Background: Higher incidence of ill health among the nurses may jeopardize the performance of any hospital. Irony of the situation is that despite being at the center of the healthcare delivery apparatus, there is a strong element of neglect about the health issues of the nursing community. Objectives: This study aims to observe and analyze the pattern of ophthalmological morbidity among nursing care personnel in a tertiary care hospital in eastern India. Materials and Methods: Five hundred and thirty nursing personnel at the tertiary care hospital underwent comprehensive ophthalmological examination and as and when required underwent ophthalmic investigations after eliciting proper history. Results: The mean age of the study population was 48.6 ± 0.8 years. The majority (86%) had mild or no visual impairment (P < 0.00, χ2: 51.8). The uncorrected refractive error was found to be the common cause of visual impairment (51%) among the study population. About 80% of the study population having visual impairment had reversible causes (P < 0.00, χ2: 37); 87% of the study population with visual impairment were not aware of their visual condition (P < 0.00, χ2: 54.8). Around 78% of the study population had not undergone comprehensive ophthalmological examination in the last 12 months (P < 0.00, χ2: 31.4). Conclusion: Regular comprehensive ophthalmological examination and necessary intervention can lead to prevention of visual impairment among the nursing personnel. This is essential for providing, maintaining, and escalating the level of patient care delivery in any tertiary care hospital. Citation: D Y Patil Journal of Health Sciences 2022 10(4):157-160 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_58_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Rekha S Udgiri, Vijaya Sorganvi Pages: 161 - 165 Abstract: Rekha S Udgiri, Vijaya Sorganvi D Y Patil Journal of Health Sciences 2022 10(4):161-165 Introduction: Sleep is an essential part of the overall well-being of health. Good quality of sleep is required for everyone to be free from physically, mentally, and socially caused disease and disability. The quality of sleep is more important during pregnancy where women are carrying one more life in their womb. Socioeconomic and demographic factors have a substantial effect on nutritional status and the food intake of women, especially pregnant and lactating women in the family. The available literature has highlighted the influence of factors such as women’s education status, family size, and community to which a woman belongs on their nutritional status and intake. Very few studies highlighted the sleep pattern in the different trimester and nutritional score of pregnant women. Therefore, the present study was an attempt to evaluate the quality of sleep and nutritional status among pregnant women in field practice areas. Materials and Methods: The present study was a prospective cross-sectional observational study and was carried out in urban and rural field practice areas of the Department of Community Medicine. A total of 104 pregnant women from randomly selected households in both rural and urban areas were included in the study as a convenient sampling. Data on the quality of sleep were collected using standardized Pittsburgh sleep quality index scale from participants, and women dietary diversity score was collected by 24 h diet history in their own language. Result: Of them, 75% have sleep difficulty with a score of >3; 54% of them were consuming more than six food groups in their daily diet. Conclusion: Our study concludes that an imbalance among antenatal mothers between resident areas related to nutrition score was due to literacy status, occupation, and the type of family of the antenatal mothers. Citation: D Y Patil Journal of Health Sciences 2022 10(4):161-165 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_47_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Cynthia Subhaprada Pages: 166 - 170 Abstract: Cynthia Subhaprada D Y Patil Journal of Health Sciences 2022 10(4):166-170 Background: Professionalism is a core competency of physicians. Erstwhile Medical Council of India envisioned competency-based medical education with Attitude, Ethics and Communication module as its forerunner. Objectives: The aim of this study was to objectively assess professionalism and ethics (P&E) by introducing multiple choice questions (MCQs) and Professionalism Mini-Evaluation Exercise (PMEX) as P&E assessment tools for MBBS students, by sensitizing the faculty and students. Materials and Methods: A mixed-method study was conducted during June to December 2019, among final MBBS part I undergraduate students, posted in the Department of Community Medicine, Kurnool Medical College, Kurnool. After obtaining IEC clearance and written informed consent from the study participants, a 3-day workshop on P&E was conducted with interactive teaching session on day 2, pretest on day 1, and posttest on day 3, in the form of five standardized patient interactions in OSCE stations rated using PMEX tool and five response stations for MCQs. Descriptive and inferential statistical analysis was done in IBM SPSS version 21.0 to see difference in pre- and posttest scores. Qualitative analysis using manual thematic coding was done to assess the perception of faculty and students. Results: A statistically significant difference in means was observed in pretest and posttest scores using PMEX tool (t test = −22.12, P value = 0.0001). 75% of students considered MCQs and PMEX as a feasible tool, out of a total of 29 study participants. Conclusion: MCQs and PMEX are effective tools to assess P&E among medical undergraduate students. Citation: D Y Patil Journal of Health Sciences 2022 10(4):166-170 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_70_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Fayaz Ahmad Paul, Aadil Bashir, Danishwar Rasool Dar, Indrajeet Banerjee Pages: 171 - 176 Abstract: Fayaz Ahmad Paul, Aadil Bashir, Danishwar Rasool Dar, Indrajeet Banerjee D Y Patil Journal of Health Sciences 2022 10(4):171-176 Background: The world’s leading preventable cause of premature illness and death is smoking. Every year, tobacco use and smoking cause the untimely deaths of almost three million people worldwide, with one million of those deaths occurring in developing countries. Objectives: The present study was conducted to determine the prevalence of smoking, knowledge about the harmful effects of smoking on health, and the influence of their family members’ smoking habits among female college-going students of the Kashmir division. Materials and Methods: This is a type of cross-sectional study. A sample of 384 female college-going students was selected by a nonrandom and convenient sampling method from various colleges of the Kashmir division. A self-administrated questionnaire was used to determine the personal, social, and educational characteristics of the study participants. They were also asked about their smoking types, status, length of time they had been smoking, understanding of the negative consequences of smoking, how many cigarettes they smoked each day, and their motivations for quitting. Results: The prevalence of present smoking cigarettes was 8.3%, whereas 7.3% of the participants were previous smokers. The prevalence of present smoking was highest among the engineering students (16.1%) and lowest among the students of commerce (3.9%). A majority (68%) of the smokers’ parents were also smokers. Almost 55.9% of smokers started their smoking habit to cope with stress, and 5.1% of the participants did not know that smoking causes serious health problems. The most common factors for quitting smoking were health concerns (88.2%). Conclusion: The present study concludes that the prevalence of smoking among female college-going students varies in different faculties and that family and friends have a great influence on individuals starting or stopping smoking. Citation: D Y Patil Journal of Health Sciences 2022 10(4):171-176 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_51_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Salfi Ponnankady, Adithya V Bharadwaj, Mansheeda Majeed, Delma D’Cunha Pages: 177 - 182 Abstract: Salfi Ponnankady, Adithya V Bharadwaj, Mansheeda Majeed, Delma D’Cunha D Y Patil Journal of Health Sciences 2022 10(4):177-182 Introduction: Stroke is a medical emergency and can cause permanent neurological damage, complication, and death if not promptly diagnosed and treated. It is also the third leading cause of death and serious disability, with major societal consequences. Materials and Methods: A prospective observational study on adult patients aged above 18 years diagnosed with acute ischemic stroke to understand the incidence and predictors of hemorrhagic transformation (HT) during hospital stay was conducted over a period of 18 months at a tertiary care hospital in Mangalore, India. The aim of this study was to find out the incidence of HT in acute ischemic stroke during the first week of hospitalization and to find out the predictors associated with the development of HT. Results: The mean age was 61.37 years, 59.28 years, 66.43 years and 48 years in those with mild stroke, moderate stroke, moderate to severe stroke and severe stroke respectively. Overall males had a higher incidence there was a statistically significant difference in the incidence of stroke, 53.33% were males. 16.67% had hemorrhagic transformation in ischemic stroke. Conclusion: Our study found that the risk of hemorrhagic transformation is higher in females than males. Citation: D Y Patil Journal of Health Sciences 2022 10(4):177-182 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_29_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Atul Khajuria, Swaleha Jahan Pages: 183 - 187 Abstract: Atul Khajuria, Swaleha Jahan D Y Patil Journal of Health Sciences 2022 10(4):183-187 Introduction: del Nido (DN) cardioplegia induces a depolarizing arrest during cardiac surgery. It is more dilute (1,4, blood crystalloid) as compared to the traditional 4:1 blood cardioplegia; it has lower Ca+2 and contains lidocaine. St. Thomas’ (ST) cardioplegia has been a popular crystalloid cardioplegia among cardiac surgeons; still, it must be administered constantly at short intervals during the surgery. Aim: To determine whether DN cardioplegia, with longer period of arrest provides better myocardial protection as compared to ST cardioplegia, with shorter period of arrest. Materials and Methods: The study population comprised 46 patients who undergone on pump coronary artery bypass grafting or any valve replacement surgery, which include aortic valve replacement, mitral valve replacement, and double valve replacement between February 2022 and June 2022. The patients were divided into two groups based on the type of cardioplegia given during surgery: (1) ST group (ST, n = 23) and (2) DN cardioplegia group (DN, n = 23). We compared the aortic cross clamp (CC) and cardiopulmonary bypass (CPB) times, number of doses required, and postoperative outcome in the two groups. Results: The CC of time of DN versus ST group (75.82 ± 27.24 vs 85.69 ± 37.20) min and bypass times of DN versus ST group (102.73 ± 35.28 vs 104.86 ± 38.9) min. The DN group was noticed to have shorter CC and CPB times with (P < 0.05). Fewer cardioplegia doses were required in the DN group versus the ST group (1.21 ± 0.42 vs 2.86 ± 1.28; P = 0.001), while a single cardioplegia dose was given to 18 DN patients (78.26%) versus 2 ST patients (8.69%) (P < 0.001). LVEF was better preserved in the DN group. Conclusions: The use of DN cardioplegia results in shorter CC and CPB times, reduces cardioplegia doses, and also provides better myocardial protection with a safety profile as compared to ST cardioplegia. Citation: D Y Patil Journal of Health Sciences 2022 10(4):183-187 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_80_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Soumya Muraleedharan, Praveen Jodalli, Rekha P Shenoy, Laxminarayan Sonde, Imran Pasha Pages: 188 - 191 Abstract: Soumya Muraleedharan, Praveen Jodalli, Rekha P Shenoy, Laxminarayan Sonde, Imran Pasha D Y Patil Journal of Health Sciences 2022 10(4):188-191 Aim: To assess the effectiveness of Braille and audio tactile performance (ATP) aid in improving oral hygiene status of visually impaired students. Materials and Methods: Randomized interventional study was conducted among 220 institutionalized visually impaired students aged 8–18 years for a period of 9 months. Study participants were divided into two groups, Group I (Braille) and Group II (ATP). Oral hygiene index-simplified (OHI-S) was used to assess their oral hygiene status at baseline and post intervention at the end of 9 months. Health education as intervention was given in Braille and ATP aid once in 2 months. Pre- and post-intervention OHI-S scores were compared. Results: The mean OHI-S scores in Group I reduced from 1.83 ± 0.68 to 1.79 ± 0.67, and P value was not found to be statistically significant (P = 0.21). Group II OHI-S scores reduced from 1.8 ± 0.66 to 1.75 ± 0.65, and P value was found to be statistically significant (P = 0.03). Conclusion: This study concluded visually impaired students can maintain an acceptable level of oral hygiene when taught using ATP technique. Citation: D Y Patil Journal of Health Sciences 2022 10(4):188-191 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_74_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Suraj Kapoor Pages: 192 - 196 Abstract: Suraj Kapoor D Y Patil Journal of Health Sciences 2022 10(4):192-196 Epidemiological surveillance is a major function of public health. Multiple disease outbreaks have prompted India to proactively respond with prevention and control measures. These actions are based on information from public health surveillance. However, many current systems rely on disease-specific approaches that inhibit efficiency and interoperability. The secondary data were used from the government official websites, MoHFW, IDSP portal. There is an existing integrated disease surveillance project with Central, state, and district surveillance units to detect early warning systems with a focus on some diseases of public health importance in the country. With the increase in economic and political power, the country may play a wider role at the International level. Thus, this review aimed at exploring the current surveillance system of the country with a developing framework for the future and its implications. There is a need for an integrated approach to digital health evidence and prediction. Political will and effective governance, with appropriate health financing and service delivery being pillars of universal health coverage are of utmost importance to be adopted in public health surveillance. There should be the creation of Rapid response teams at various health echelons These teams should be trained centrally with a role in investigating early warning systems and impending outbreaks. These teams should be empowered with materials and infrastructure for effective surveillance mechanisms. The one health approach concept is particularly important in the times of the pandemic and the emergence of emerging and Re-emerging diseases with the threat of potential biological warfare across the globe. Citation: D Y Patil Journal of Health Sciences 2022 10(4):192-196 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_24_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Suraj Kapoor Pages: 197 - 201 Abstract: Suraj Kapoor D Y Patil Journal of Health Sciences 2022 10(4):197-201 Introduction: Noncommunicable diseases and coronavirus disease 2019 (COVID-19) are revealing synergism in the form of similarity in risk factors and clinical course. Hence, it is proposed to focus on other efficient measures to combat the current pandemic using natural measures such as nutrition, immune boosters, and lifestyle modification to prevent the severe outcomes of COVID-19. These measures will also help in improving the widespread morbidity and mortality due to noncommunicable diseases. Materials and Methods: A desk review of the literature was conducted to collect, collate, synthesize, and analyze information: (a) importance of natural methods, immune booster, and lifestyle modification, (b) antigenic sin/immune imprinting due to revaccination, (c) noncommunicable diseases being an important focal point in reducing the severity of COVID-19, and (d) limitation of the use of repurposed drugs and a lack of definitive treatment. Results and Discussion: A total number of 30 articles/government/international websites were assessed. Existing literature regarding the effectiveness of natural, dietary, lifestyle modification, antioxidants, and probiotics is compared and analyzed. Factors influencing the pandemic management like synergism with noncommunicable diseases, immune imprinting with revaccination, and the use of repurposed drugs are discussed. Conclusion: With limited success by restrictive and nonpharmacological intervention, vaccination revealing immune imprinting, a lack of scientific and definitive treatment against COVID-19, and its variants and with synergism with noncommunicable diseases, it is imperative to focus on natural, immune booster, lifestyle modification to curb the pandemic. Citation: D Y Patil Journal of Health Sciences 2022 10(4):197-201 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_54_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Suraj Kapoor Pages: 202 - 205 Abstract: Suraj Kapoor D Y Patil Journal of Health Sciences 2022 10(4):202-205 Digital technology has been a revolutionary foray in various sectors and domains such as education, industry, research, and, recently, healthcare. With digital health increasing its presence and importance in the country, it is imperative to assess the present digital health system in the country, its challenges, and the way ahead. Secondary data from Govt. official sites, press information, latest articles, and newspapers were extracted and discussed in the article. The existing digital health infrastructure along with a discussion on electronic health card, role, and importance of digital health in immunization, reproductive, and child health are discussed. The use of digital tools by grass root workers has also been highlighted in the study. In the current system, a lot of data including Outpatient department (OPD) data, Operation theatre(OT) data is not captured, which leads to the loss of vital information. There is a need for a capacity building like availability and accessibility of the Internet in the periphery, and training for building an effective digital health care system in the country. There is a necessity to emphasize the first important step of collection of a “good quality” data point through the implementation of electronic medical records by the health care providers. Digital health is a rapidly emerging and evolving entity with an overwhelming impact on geopolitical and socioeconomic realities in the future. The benefits of public goods, results, and services under this group must be maximized, with minimum disruption to the society. Citation: D Y Patil Journal of Health Sciences 2022 10(4):202-205 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_27_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Rutuja Rajabhau Jane, Vrushali Khandekar Pages: 206 - 212 Abstract: Rutuja Rajabhau Jane, Vrushali Khandekar D Y Patil Journal of Health Sciences 2022 10(4):206-212 Background: Water consumption is a science and an art as well. Drinking water is so natural that, people drink water without even getting noticed. Some people drink water without getting thirsty. It is necessary to educate the public about rules of drinking water. Ayurveda has very meticulously stated the rules of water consumption. Present study is an attempt to make sensitive the clinicians and the public in general regarding water consumption. Objectives: 1. To evaluate the role of Ushapaan 2. To decide identification of drinking warm or cold water 3. To describe the seasonal variation of drinking water 4. To decide the quantity and timing of drinking water 5. To determine the diet and water relationship 6. To evaluate the remedial effect of water. Material and Methods: A review of water consumption was done from various classical Samhitas, books, research articles, clinical trials and web sites. Discussion: In this review, some issues related with water consumption has discussed like types of water, rules of drinking water (Jalapanvidhi), seasonal variations of drinking water, Ushapaan (Drinking of water on an empty stomach), quantity of drinking water, diet and water: Relationship, therapeutic water consumption and water consumption in sports persons. Conclusion: The present study comes to the conclusion that if one follows various rules and directions of water consumption, it will benefit in retaining the health and helps in curing the ailments. Citation: D Y Patil Journal of Health Sciences 2022 10(4):206-212 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_36_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Ajay Kumar, Sahaj Prajapati, Arka Chatterjee, Ramesh Chandra Tanger Pages: 213 - 216 Abstract: Ajay Kumar, Sahaj Prajapati, Arka Chatterjee, Ramesh Chandra Tanger D Y Patil Journal of Health Sciences 2022 10(4):213-216 Foley’s catheter and nasogastric tubes are very commonly used at every medical facility and are usually safe for the patients. Ventriculo-peritoneal shunting is the most common pediatric neurosurgical procedure. Although Shunt failure is unfortunately quite common, knotting of an intraperitoneal end of shunt tubing is very rare. We report three cases of in vivo knotting in different body cavities and possible methods to remove the catheters. Citation: D Y Patil Journal of Health Sciences 2022 10(4):213-216 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_57_22 Issue No:Vol. 10, No. 4 (2023)
Authors:Rutuja Rajabhau Jane, Vrushali Khandekar Pages: 217 - 220 Abstract: Rutuja Rajabhau Jane, Vrushali Khandekar D Y Patil Journal of Health Sciences 2022 10(4):217-220 Amlapitta is a gastrointestinal disorder. It comes under lifestyle disorder. Improper diet and habits, stress, and spicy food are some causative factors that vitiate Pitta and Kapha by Ama. The objective of this study was to access the role of lifestyle modification and Ayurvedic management in Urdhwag Amlapitta. A 35-year-old female patient with a known case of Urdhwag Amlapitta presented with complaints of sour belching, burning sensation in the chest, headache, exertion without work, nausea, indigestion, and thirst for 1 year. Appropriate modifications were made in diet and lifestyle. A proper diet chart was provided. Three settings of Jaladhauti Shuddhikriya (~voluntarily induced vomiting) then Hingwashtak Churna, Avipattikar Churna, and Dadimavaleh were advised for 1 month. Follow-up was taken on the 7th day and 15th day. Subjective symptoms reduced remarkably and no recurrence of Amlapitta was seen. Lifestyle modification plays an important role in Nidanparivarjan (avoid intake of risk factors) to control recurrence. Jaladhauti shuddhikriya corrects the pathology by eliminating disease causative factor Kapha/Ama from its main site of accumulation. Jatharagni Deepan and Pachan of residual Aam are done by Hingwashtak Churna. Avipattikar Churna works as Pittavirechak. By this study, it can be concluded that lifestyle modification helps in controlling recurrence and Jaladhauti Shuddhikriya is a safe and effective treatment for Urdhwag Amlapitta. Citation: D Y Patil Journal of Health Sciences 2022 10(4):217-220 PubDate: Mon,27 Mar 2023 DOI: 10.4103/DYPJ.DYPJ_35_22 Issue No:Vol. 10, No. 4 (2023)
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