Medicine and Health Sciences Commons^™

Demography, Comorbidities, Biomarkers, And Severity Of Infection In Admitted Covid-19 Patients: Experience From A Tertiary Care Hospital In South India, Indira Kedlaya, Yashas V. Kedlaya, Saad H. Usmani

Manipal Journal of Medical Sciences

Introduction: This retrospective study analyses the demographics, clinical features, and comorbidities of patients admitted with COVID-19. The study also evaluates the association of two biomarkers namely D-dimer and CRP (C-reactive protein) with the severity of the infection. Methods: Data of COVID-19 patients admitted from 1 June 2020 to 31 August 2020 was collected based on age, sex, date of admission and discharge, the severity of infection, final disposition, treatment, biomarkers (C-reactive protein and D-dimer), other associated presentations, and comorbidities through a chart review. The severity of infection was categorized into asymptomatic, mild, moderate, or severe, based on WHO criteria. Results: …

Pharmacotherapy For Non-Alcoholic Steatohepatitis - Current Status And Future Prospects, Ganesh Bhat

Manipal Journal of Medical Sciences

Non-alcoholic Steatohepatitis (NASH) is emerging as a leading cause of cirrhosis worldwide. Weight reduction through lifestyle modification is accepted first line treatment for these patients. Histological improvement in highrisk patient is the primary target of pharmacotherapy in NASH patients. Even though currently many drugs are available for these high-risk patients, none of them has been approved USA Food and Drug Administration (FDA) until now. Among these, vitamin E and pioglitazone has been approved by AASLD (American Association for the Study of Liver Diseases) in selected group of patients. There are more than a dozen drug targeting different pathways in NASH …

Post-Coarctectomy Syndrome And The Use Of Gabapentin For Gi Ileus: A Case Report, Vinay Krupadev

Manipal Journal of Medical Sciences

Post-coarctectomy syndrome is a complication of aortic arch repair that occurs due to a sudden increase in reperfusion of the body’s vasculature following surgery. One complication related to postcoarctectomy syndrome is ileus which can prolong a patient’s ICU stay and delay discharge home. While traditionally supportive care has been used to resolve this condition, this case highlights the use of gabapentin as a relatively novel treatment for post-coarctectomy syndrome gastrointestinal ileus.

Post-Operative Vision Loss Following Cataract Surgery: Lessons Learned From An Eight-Year Analysis, Thanigasalam Thevi

Manipal Journal of Medical Sciences

Background: Cataract is an ageing process and surgery is the only mode of restoring vision. Patients who undergo surgery have only one aim in mind, which is improvement in their visual acuity (VA). However, some patients do not achieve this aim for improved vision after having undergone the surgery. Reasons for worsening vision after cataract surgery should be identified to counsel the patients on the possibility of poorer outcomes so that patients are prepared for such eventualities should they happen. Objective: While cataract surgery restores vision in most, a subset of patients experience worsening vision post-operatively. We investigated various reasons …

A Cross-Sectional Study On Perinatal Mortality In Jasin District, Malaysia, Yadneshwar Khobragade

Manipal Journal of Medical Sciences

Background: Since 2003 perinatal mortality rate of Malaysia is in range of 7.5 -8.5/1000. But higher deaths rates were observed in Jasin District from 2014-2017, hence this study was conducted to find out the prevalence and causes of perinatal mortality and suggest the steps to prevent it. Material and Methods: Cross-sectional study was conducted in Jasin district health office. Registered cases for delivery and birth records covering the period of 2014-2017 were checked. Total births (including stillbirths) were 8092. The files of stillbirths and early neonatal deaths were segregated, and data entered in excel sheet. Statistical Analysis: Processing and analysis …

A Rare Presentation Of Miller Fisher Syndrome, A Rare Variant Of Guillain Barre Syndrome, Saumya Mittal

Manipal Journal of Medical Sciences

Guillain Barre syndrome presents as acute onset of gradually progressive ascending flaccid paralysis with hyporeflexia or areflexia. The variants are acute inflammatory demyelinating polyneuropathy, acute motor axonal neuropathy, acute motor sensory axonal neuropathy, and Miller Fisher syndrome. Miller Fisher syndrome includes symptoms that form a classical triad of ophthalmoplegia, ataxia, and hyporeflexia or areflexia. This case presents a case of Miller Fisher syndrome with atypical features wherein the patient had normal reflexes and his reflexes remained normal in follow-up.

Percutaneous Tracheostomy; As It Stands Today, Devaraja K

Manipal Journal of Medical Sciences

Conventionally, tracheostomy includes surgical creation of tracheo-cutaneous communication. It is done either to bypass the upper airway obstruction or to facilitate optimal mechanical ventilation and early weaning off the ventilator support in neurologically unstable patients. For many years now, percutaneous tracheostomy has been proposed as an alternative to open surgical tracheostomy in ventilator-dependent patients. This review briefly narrates the principles and procedure of percutaneous tracheostomy. In addition, the article sheds light on a few critical problems that one could encounter during the process and discusses countermeasures to overcome those difficulties. Finally, the role of intra-procedure bronchoscopy or ultrasonography and of …

Malabar Pit Viper Envenomation Presenting With Symptomatic Hyperkalaemia In A Tertiary Care Centre In South Karnataka, Vrinda Lath

Manipal Journal of Medical Sciences

A 25-year-old male was bitten by a pit viper over the foot and presented with a tender and oedematous bitten limb a day after the bite. He had received anti-snake venom (ASV) at a local centre and developed anaphylaxis. He was admitted for observation and developed sudden onset hyperkalaemia and hemodynamic instability which responded to anti-hyperkalemic measures. We highlight envenomation by a species not known to cause any life-threatening complications, and emphasize the need for intensive monitoring and discuss the importance of species identification, knowledge of regional herpetofauna and treatment modalities including the need for a species-specific antivenin.

A Rare Case Of Chorioretinitis Sclopetaria- A Pellet In A Haystack, Yogish Kamath

Manipal Journal of Medical Sciences

Chorioretinitis sclopetaria is a rare event with a poor visual prognosis, with less than a hundred cases reported worldwide. We report a case of an 8-year-old boy who presented with swelling and decreased vision in the left eye after an alleged fall. On examination, the affected eye showed periorbital ecchymosis, ptosis, subconjunctival haemorrhage, hyphema, and an afferent pupillary defect. A CT scan showed a foreign object lodged in the left orbit which was removed surgically. This case report intends to describe the rare occurrence of chorioretinitis sclopetaria in a child, wherein the history of gun pellet injury, elicited in retrospect, …

Ct Guided Percutaneous Vertebral Body Biopsy: Our Experience In Spine Mining, Ullas Va, Shriram V, Tiwari S, Verma A, Pendharkar H, Saini J

Manipal Journal of Medical Sciences

No abstract provided.

Catastrophic Antiphospholipid Syndrome (Caps) – A Case Report, Belisha Dmello, Latha T. Bhat, Barkur Ananthakrishna Shastry

Manipal Journal of Nursing and Health Sciences

Catastrophic antiphospholipid syndrome is a rare disease with positive antiphospholipid antibodies that progresses to a life-threatening condition resulting in multiple organ dysfunction and thromboses. Here is a 19-year young woman who presented to the emergency room in a haemodynamically unstable condition requiring immediate mechanical ventilator support. She had involvement of the disease in the respiratory, cardiovascular, renal, and central nervous systems. She also developed gangrene of the left toes for which amputation was done. She was successfully treated with Dexamethasone Cyclophosphamide Pulse (DCP) therapy. The collaborative care by the health team members in the intensive care unit was successful in …

Mayer Rokitansky Kuster Hauser Syndrome: A Case Of Mullerian Agenesis, Anu Baby, Simi Kurian, Rani Jose

Manipal Journal of Nursing and Health Sciences

Developmental anomalies of the Mullerian duct are one of the fascinating congenital disorders encountered in which Mayer Rokitansky Kuster Hauser syndrome (MRKH) is one of the wide variety of malformations. The most common presentation in MRKH syndrome is primary amenorrhea with normal development of secondary sexual characteristics and normal female karyotype (46, XX). The ovaries and fallopian tubes are usually functional, but the uterus and upper two-third vagina are either underdeveloped or absent. MRKH syndrome can either be an isolated utero-vaginal aplasia (Type I) or associated with extragenital anomalies (Type II). A case of Type I MRKH syndrome is reported …

Assessment And Oral Care: An Essential Nursing Activity For Patients Receiving Cancer Treatment, Radhika R. Pai, Ravikiran Ongole, Sourjya Banerjee

Manipal Journal of Nursing and Health Sciences

Head and neck radiation therapy and chemoradiation are inherently associated with severe oral complications such as oral mucositis, infection, and functional issues of the oral cavity, significantly affecting the quality of oral cavity health in cancer patients. Oral care in cancer patients is a vital part of nursing care but can be seen as a most neglected job, along with other duties or a tedious task to undertake. Recognizing the effect of cancer treatment and delivery of oral care as per the specific guidelines to cancer patients is not well known, and it is not clear. Literature review reports that …

Effect Of Empowered Female Labour Companion On Anxiety, Birth Outcome, And Maternal Satisfaction Among Primiparturients, Jisha C, Sreeja G. Pillai

Manipal Journal of Nursing and Health Sciences

Labour companionship is a core element of care for improving maternal and infant health outcomes and providing respectful maternity care for a positive childbirth experience.Objective: Evaluate the effect of empowered female labour companion on anxiety, birth outcome and maternal satisfaction among primiparturients. Methods: Quantitative approach with Quasi-experimental non-equivalent control group post-test only design was used to collect data from 34 (Experimental group-17, Control group-17) primiparturients selected by consecutive sampling technique from the labour room of Govt. Medical College Hospital, Kannur. Data was collected using an interview schedule, labour specific anxiety scale, maternal satisfaction scale and birth outcome observation record, and …

Indian Healthcare System: Reflections Of Swedish Nursing Students, Elisabeth Mangrio

Manipal Journal of Nursing and Health Sciences

Internationalization within nursing programs is essential to provide nurses with cultural competence and for nursing students to gain an international perspective. It has also been shown to be effective to gain a cultural understanding. This paper aims to illuminate and explain the experiences that Swedish nursing students had while they engaged in clinical training during an exchange program in India and to provide a comparison between the health service in both countries. Nursing students from Sweden did a four-week clinical placement within the primary healthcare in India in 2020. During the clinical placement, which consisted of a variety of healthcare …

Menstrual Pattern, Practices, Problems And Its Impact On Activities During Menstruation Among Adolescent Girls At Chennai, India, Prema Janardan, R Sudha

Manipal Journal of Nursing and Health Sciences

A descriptive correlational study was undertaken to assess the menstrual pattern, practices, problems, and its impact on activities during menstruation among adolescent girls. Total of 123 adolescent girls were selected by using the non-probability convenience sampling technique. Demographic proforma and self report checklist was used to collect the data.The results revealed that the majority of the adolescent girls had a partially abnormal menstrual pattern and all used sanitary napkins as absorbent. The majority had reported some problems during menstruation with dysmenorrhea being the predominant one and had reported some impact on the activities during menstruation with special reference to absenteeism …

Effectiveness Of Mirror Therapy On Upper And Lower Limb Function Among Stroke Patients With Hemiparesis, Silpa C

Manipal Journal of Nursing and Health Sciences

Introduction: The upper and lower limb function impairment remains an undesirable consequence followed by a stroke that increases activity limitation. Objective: To find the effectiveness of mirror therapy on upper and lower limb function among stroke patients with hemiparesis admitted at Govt Medical College, Kannur. Methods: Quasi experimental, non-equivalent control group pre-test post-test research design was used among 24 stroke patients with hemiparesis who met inclusion criteria by using consecutive sampling technique and allotted to both experimental (n=12) and control group (n=12). Mirror therapy was administered to the experimental group daily for two weeks. A semi-structured interview schedule and Fugl-Meyer …

Effectiveness Of Video-Assisted Teaching On Awareness (Knowledge And Attitude) Towards Mental Illness Among Public, Vinisha Almeida, Nanda Kumar Paniyadi, Asha K. Nayak

Manipal Journal of Nursing and Health Sciences

Introduction: Knowledge and attitude of mental illness affect behaviour tremendously. The attitude of people towards mental health problems are negative, condemned, ignorant, and apprehensive. Objectives: To assess the effectiveness of video-assisted teaching (VAT) on knowledge and attitude of the public towards mental illness. Methods: A quantitative, pre-experimental one-group pre-test post-test design was used among 80 people using a judgmental sampling technique. For data collection, a knowledge questionnaire and an attitude scale were developed. An appropriate VAT was developed that was administered as an intervention. The intervention was done after four weeks and the effectiveness of the program was assessed by …

Systematic Review Protocol Examining The Effect Of Prefeeding Oromotor Stimulation On Preterm Neonate’S Feeding Outcomes, Suvarshi Sasmal, Asha P. Shetty

Manipal Journal of Nursing and Health Sciences

Introduction: Feeding difficulty is a common problem among preterm babies as sucking-swallowing and breathing coordination matures by 32-34 weeks of postmenstrual age. There is a growing consensus among healthcare providers worldwide that oromotor stimulation influences feeding outcomes of preterm babies, but limited evidence influences its clinical applicability. Objectives: To critically appraise the available evidence on the effect of prefeeding oromotor stimulation (OMS) on preterm neonate’s feeding outcomes. Methods and analysis: This review will include only randomized controlled trials (RCTs). Electronic databases will be searched from January 2000 to December 2019. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) …

Patient Satisfaction Towards Nursing Care In General Wards Of Tertiary Care Hospital Of Eastern India, Nanda Kumar Paniyadi, Asha P. Shetty

Manipal Journal of Nursing and Health Sciences

Patient satisfaction is one of the elements of determining the care provided as a desirable outcome of clinical care in the hospital. A patient’s expression of the care received is considered an important indicator regarding the quality of hospital care in all of its aspects. Indian nurses need to be aware of the importance of patient satisfaction and their role in providing need-based care. Objective: To identify patient satisfaction towards nursing care. Methods: A descriptive study design with a stratified sampling technique was used. The data was collected from 350 patients aged between 18-65 years at general wards of tertiary …

The Satisfaction Of Nursing Care Among Traumatic Brain Injury Patients: Cross-Sectional Study, Sivakami S, Kanitha D

Manipal Journal of Nursing and Health Sciences

Nursing services are considered as one of the most important components of hospital services. Quality nursing care adds to the overall satisfaction of patient hospitalization experience. Patient satisfaction is one of the indicators in determining the quality of care in healthcare settings. Objectives: To assess the level of satisfaction on nursing care among traumatic brain injury patients and associate the level of satisfaction on nursing care with their sociodemographic variable. Method: A descriptive research design was adopted to study the satisfaction of nursing care among traumatic brain injury patients in a selected setting. A non-probability convenience sampling technique was used …

The Unheard Cry Of An Emergency Nurse, Monica Rita Hendricks, Dr.Sunil Kumar Shetty

Manipal Journal of Nursing and Health Sciences

Abstract

Working as an emergency nurse, brings along with it a string of complications that the nurse initially did not sign up for when she opted for a job in the emergency department. The dreams of a fresh staff are soon crushed by the turmoil of their her job.

The aim of this reality check article is to spread awareness among the nurses in India and make them feel supported in their ordeal. The paper also focuses on what could be done to help the nurses traverse through their stressful everyday nursing lives.

Key words: Emergency department, nurse, stress

Assessment Of Concerns And Health-Seeking Behaviours Related To Covid-19 Infection, Elizebeth Rani. V, Sudha Arumugam, Yashodha G

Manipal Journal of Nursing and Health Sciences

Assessment of concerns and health-seeking behaviours related to COVID-19 infection

Elizebeth Rani V ^1* R Sudha ² , Yashodha G ³

1. Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

2. Principal, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

3. Lecturer, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

*Corresponding author

Elizebeth Rani. V, Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

E-mail: elsam82@ymail.com

Short title: Elizebeth et al. Health-seeking behaviours related to COVID-19.

How to cite this article: Elizebeth Rani V, Sudha R, & Yashodha G (2021). Assessment of …

A Review Of Ongoing Trials In Exercise And Physical Activity For Postmenopausal Osteoporosis, Anupama D S, Judith Noronha, Kiran K V Acharya, Mukhyaprana Prabhu, Baby S. Nayak

Manipal Journal of Nursing and Health Sciences

Osteoporosis is a major public health problem worldwide. While exercise and physical activity have been shown to improve the bone strength and quality of life of osteoporosis patients, there is still no clarity about the quantum, frequency and pattern of exercises. This review of ongoing trials on exercise and physical activity among postmenopausal osteoporosis was conducted using the World Health Organization International Clinical Trial Registry Platform (WHO-ICTRP). "Postmenopausal Osteoporosis" and "Exercise" were the keywords used for the review. The objective of this review was to identify the ongoing trials in exercise and physical activity for postmenopausal osteoporosis. Results revealed that …

Effect Of Dietician Consultation On Glycaemic Control: A Cross-Sectional Survey From Western-Coast Of India., Prabhath Matpady, Gundmi Arun Mayya, Praveena Mogan, Jeevan K. Shetty, Shashikiran Umakanth

Manipal Journal of Nursing and Health Sciences

Background: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause acute and chronic complications due to poor glycaemic control. This highlights the importance of self-management in achieving optimal glycaemic control. Dietary advice plays a vital role in the self-management of T2DM.

Objective: To study the effect of dietician consultation on the glycated Hb levels in T2DM patients and to compare it with T2DM patients, not on dietician consultation.

Methods: This is a cross-sectional study amongst people with type 2 diabetes mellitus (T2DM) was conducted in predominantly rural and suburban communities of Udupi taluk, Karnataka, South India. …

Knowledge, Attitude And Practices On Contraceptives In Married Women Of Odisha, Smitha Moonjelly Vijayan Dr, Mamata Das Mrs, Kajal Patwal Ms, Prachi Parichita Ms, Chhaya Sharma Ms, Vidya Seervi Ms

Manipal Journal of Nursing and Health Sciences

Introduction: In developing countries, maternal and new-born mortality and morbidity rates can be reduced with apt contraceptive usage. This study aimed to assess the knowledge, attitude, and practices regarding contraception among married women

Methods: A descriptive study was conducted among 110 married women attending Obstetrics & Gynaecology OPD of AIIMS Bhubaneswar.

Result: The mean ± S.D. age of participants was 29.13±3.51 years. About half of the women (50.9%) had poor knowledge of contraception. More than half of women (65.17%) had a positive attitude on contraceptive use; however, only 24% of the subjects used a contraceptive, the most preferred contraceptive being …

Effectiveness Of Fall Prevention Program On Nurses’ Knowledge And Fall Prevention Practices, Alisha Bhardwaj, Deepa Chugh

Manipal Journal of Nursing and Health Sciences

economic harm. Nurses who care for patients should be aware of the risk factors of patient falls, ways to prevent falls and provide nursing intervention. Hence, a fall prevention program was organized in order to educate the nurses regarding fall prevention. Objective: The objectives of the study were to identify the nurses’ knowledge and fall prevention practices in the hospital before and after implementation of educational sessions, to evaluate the effectiveness of fall prevention programs on nurses’ knowledge and fall prevention practices and to find out the association between post-intervention nurses’ knowledge with selected demographic variables. Method: Pre-experimental research design …

Risk Perception, Knowledge, Attitude, And Preventive Practice Towards Covid-19 Outbreak: A Cross-Sectional Online Survey In Kerala, Swapna K G

Manipal Journal of Nursing and Health Sciences

Introduction: The COVID-19 pandemic affects people of all ages; healthy and unhealthy. The only measure for prevention of the spread of infection is SMS (social distance, mask and sanitation) in the absence of an effective drug or vaccine. The lockdown had affected people’s mobility and livelihood.

Objectives: This study assessed the risk perception, knowledge, attitude and preventive practice of people of Kerala towards Covid-19 outbreak immediately after the fourth phase of lockdown and the association between the risk perception, knowledge, attitude and preventive practices and sociodemographic variables and the factors associated with risk perception.

Methods: The online …

Assessment Of Knowledge And Self-Reported Practices Regarding Self-Care Of Arteriovenous (Av) Fistula Among Patients Undergoing Hemodialysis, Deepa Muthusamy, R Sudha, Grace Pal, Cheranmadevi P

Manipal Journal of Nursing and Health Sciences

Background: End stage renal disease (ESRD) occurs when chronic kidney disease reaches an advanced state. Among the available treatments for ESRD, the Hemodialysis is the most utilized treatment. To facilitate Hemodialysis, Arteriovenous fistula is created by connecting artery to a vein. Aim: The present study aims to assess the knowledge and practice regarding self-care of Arteriovenous fistula among patients undergoing hemodialysis .Method: The research approach was quantitative in nature and descriptive research design was used. The study was conducted among 100 patients undergoing Hemodialysis in selected hospitals, Chennai. The samples were selected by non- probability purposive sampling technique. Interview …

Assessment Of Compliance With The Therapeutic Regimen And Risk For Diabetic Foot Ulcers Among Patients With Diabetes Mellitus During Covid-19 Pandemic, Deepa Muthusamy, Cheranmadevi P, Saroja Kumar, R Sudha, Jennitta G

Manipal Journal of Nursing and Health Sciences

Background: According to the data from the World Health Organization (2011), over 3 million people die worldwide from diabetes and its related complications every year as a result of non-compliance. Aim: The present study aimed to assess the compliance to therapeutic regimen and risk for diabetic foot ulcer during COVID-19 pandemic among patients with Diabetes Mellitus. Method: The research approach was evaluative in nature and descriptive research design was used. The study was conducted among 100 patients with Diabetes Mellitus in selected hospitals, Chennai. The samples were selected by non- probability purposive sampling technique.. Structured 3 point rating scale was …