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Full-Text Articles in Medicine and Health Sciences

“Sampark Snehi”: Telemedicine Consultation In Covid-19 Times At A Private Medical College Hospital – Digitalised Solution, Vijetha Belle Dec 2020

“Sampark Snehi”: Telemedicine Consultation In Covid-19 Times At A Private Medical College Hospital – Digitalised Solution, Vijetha Belle

Manipal Journal of Medical Sciences

Every life is precious and every patient matters: In a country with 5.5 government beds for 10,000 population, even a marginal increase in hospitalization increases the pressure on the system exponentially. The spread of COVID-19 has kindled the need for transformation from traditional face-to-face doctorpatient communication to a telehealth platform. During the lockdown, reduced access to both outpatient and hospitalization services is proving to be fatal for countless non-covid patients. Taking lead in addressing the health care needs and demands of the society we cater to, E-consultation which has been initiated by most of the medical colleges providing tertiary care, …


Facts About Asthma Insights And Treatment Regimen: A Hospital Based Survey, Krishnananda Prabhu Dec 2020

Facts About Asthma Insights And Treatment Regimen: A Hospital Based Survey, Krishnananda Prabhu

Manipal Journal of Medical Sciences

Background: Bronchial asthma is the most prevalent chronic lung diseases. Morbidity and mortality associated with asthma has also continued to increase despite advances in treatment and management. Asthma vary from region to region due to the variability of extrinsic allergens that play a major role in sensitizing susceptible individuals. As an allergenic disease, environmental factors are of more importance than genetic factors in the etiology of bronchial asthma. Patient awareness and treatment regimen have a strong influence on outcome and stabilization of asthma. Objective: This survey was to evaluate the knowledge about triggering factors and treatment regimen among asthma patients. …


Managing Excess Inventory Of Stores In A Hospital, Naveen Kumar Dec 2020

Managing Excess Inventory Of Stores In A Hospital, Naveen Kumar

Manipal Journal of Medical Sciences

Inventory costs in hospitals vary from 30 to 40 percent of the hospital operating costs per year. Inventories are materials and supplies that a hospital carries for patient care. Often, they are a substantial part of the total assets of a hospital. Quick liquidation is imperative in real-time scenarios like value recovery, getting rid of excess material or bringing down logistics cost. Due to poor handling of finances by purchase managers without prior retail management education – the ordering systems, vendor payments management of the hospitals will not be ideal, which will affect vendor relations. In this scenario, this study …


Role Of Statins In Covid-19, Bharti Chogtu Dec 2020

Role Of Statins In Covid-19, Bharti Chogtu

Manipal Journal of Medical Sciences

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Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh Dec 2020

Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh

Manipal Journal of Medical Sciences

There has been a growing body of evidence highlighting the radical effect of nutrition on the immune system and disease susceptibility. The current COVID-19 crisis awakens an urgent calling for optimum nutrition which boosts immunity and prevents diseases, just like a vaccine. Though there have been several national guidelines regarding diet during COVID-19, there has been sparse research and literature available in this field. This review aims to summarise the existing evidence on various aspects of nutrition and immunity pertaining to the COVID-19 crisis. Literature and search strategy included PubMed and Google Scholar for articles on various aspects of nutrition …


Post-Partum Haemorrhage - The Ultimate Challenge To Emergency Medicine, Akshata Ammembal Dec 2020

Post-Partum Haemorrhage - The Ultimate Challenge To Emergency Medicine, Akshata Ammembal

Manipal Journal of Medical Sciences

Post-partum haemorrhage (PPH) is a leading cause of maternal mortality globally. This report elaborates the diagnosis and treatment of a 31-year-old woman with PPH, treated in our tertiary centre. On presentation, she showed all signs of hypovolemic shock and disseminated intravascular coagulation (DIC). Persistent fresh vaginal bleeding led to the decision to perform an emergency hysterectomy. She required massive transfusion but consequently developed transfusion-associated lung injury (TRALI), for which she was effectively treated. She made a full recovery leading to discharge 12 days after admission. This article stresses the importance of the multi-disciplinary approach and rapid, coordinated management of emergency …


Metastatic Genital Crohn’S Disease: Visceral Devil In The Details- A Case Report, Soumya Kanti Datta Dec 2020

Metastatic Genital Crohn’S Disease: Visceral Devil In The Details- A Case Report, Soumya Kanti Datta

Manipal Journal of Medical Sciences

Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) commonly associated with extraintestinal manifestations such as arthritis, uveitis, deep venous thrombosis and erythema nodosum. Asymmetrical labial swelling and edema are the most common presentations of genital CD in females. Vulval CD can appear before or after gastrointestinal (GI) CD or it may occur simultaneously with an independent course of disease and response to treatment. Here we discuss an atypical case of metastatic vulvar CD presenting as perineal and perianal ulcers and erosions successfully treated with oral doxycycline and topical corticosteroids hence making it an exciting new treatment avenue to …


To Mask Or Not To Mask During An Infectious Outbreak - Perspective, Thanigasalam Thevi Dec 2020

To Mask Or Not To Mask During An Infectious Outbreak - Perspective, Thanigasalam Thevi

Manipal Journal of Medical Sciences

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Digital Revolution During Covid-19 Era, Monalisa Biswas Dec 2020

Digital Revolution During Covid-19 Era, Monalisa Biswas

Manipal Journal of Medical Sciences

Triaging is of utmost importance in any pandemic and is essential in the present COVID-19 times when we are witnessing an enormous number of our population being affected by the novel coronavirus. Further, it is important to acknowledge the varied spectrum of manifestations among our patients with each patient needing a tailored protocol and facilitating in gaining an understanding of the epidemiology and disease pathophysiology. The rapid spread of COVID-19 and shortage of health care personnel in a developing country like India needs immediate and effective health technology to triage COVID suspects thereby reducing doctor – suspects’ contact and monitor …


School Absenteeism Among Adolescent Girls Due To Menstruation Related Issues – A Cross-Sectional School Based Study, Parul Malik Dec 2020

School Absenteeism Among Adolescent Girls Due To Menstruation Related Issues – A Cross-Sectional School Based Study, Parul Malik

Manipal Journal of Medical Sciences

Introduction: Problems related to menstruation are one of the most common issues faced by adolescent girls all over India. To improve academic performances among adolescent girls and to reduce menstruation-related school absenteeism, it is important to understand and address the factors affecting school absenteeism during menstruation. Methods: This was a school-based survey conducted for six months from January to June 2019 in the Udupi district of Karnataka State. A semi-structured questionnaire with four domains, namely - sociodemographic variables, awareness on menstruation, menstrual products used and school absenteeism due to menstruation was administered. 1546 responses were received. Results: The participants of …


Editorial, Mamatha S. Pai Dr Jul 2020

Editorial, Mamatha S. Pai Dr

Manipal Journal of Nursing and Health Sciences

No abstract provided.


Effectiveness Of Computer-Assisted Teaching Program On Knowledge And Practice Of Postnatal Mothers Regarding Newborn Care, Mallika M Ms, Shilaja K. G Ms Jul 2020

Effectiveness Of Computer-Assisted Teaching Program On Knowledge And Practice Of Postnatal Mothers Regarding Newborn Care, Mallika M Ms, Shilaja K. G Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The arrival of a newborn in a family is a complex and significant event. There will be a series of functional changes to prepare the newborn for the passage across the bridge between gestation, within and outside the womb. Lack of essential newborn care is one of the leading causes of neonatal morbidity and mortality. To prevent these problems, practices such as clean cord care, thermal regulation and initiating breastfeeding immediately after birth could play an essential role. The objective of the study is to determine the effectiveness of computerassisted teaching program on knowledge and practice of postnatal mothers …


Experiences Of Mothers Of Preterm Neonates Following Discharge From Neonatal Intensive Care Unit (Nicu) - A Qualitative Content Analysis, Monica Rita Hendricks Ms, Brian S. Carter, Suman Rao P N Dr Jul 2020

Experiences Of Mothers Of Preterm Neonates Following Discharge From Neonatal Intensive Care Unit (Nicu) - A Qualitative Content Analysis, Monica Rita Hendricks Ms, Brian S. Carter, Suman Rao P N Dr

Manipal Journal of Nursing and Health Sciences

Preterm birth brings with it stress that requires separation from their parents, acute care, prolonged hospitalization, rigorous medical interventions with more technological contact. A preterm neonate in the neonatal intensive care unit, not only places the parents in emotional turmoil, but it also makes them experience physical, social, financial and spiritual stress. This study retrospectively explored the experiences of parents of Neonatal Intensive Care Unit (NICU) graduates (neonates who are discharged from NICU) in dealing with preterm neonates and identified their coping mechanisms. Methodology: Data was collected through a telephonic interview from six mothers of preterm infants discharged from the …


Health Service Utilization Among Migrant Mothers Of Under-Five Children In Shivamogga District Of Karnataka, Anupama D. S Ms, Baby S. Nayak Dr, Jyothi Chakrabarty Dr Jul 2020

Health Service Utilization Among Migrant Mothers Of Under-Five Children In Shivamogga District Of Karnataka, Anupama D. S Ms, Baby S. Nayak Dr, Jyothi Chakrabarty Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Migrant mothers residing in the slum area always underutilize the health services rendered by the government. Objective: The objective of this study was to assess the health services utilization for children among migrant mothers of under-five children. Method: A cross-sectional descriptive survey approach was used for this study. The study was conducted among 320 mothers from selected migrant areas of Shivamogga District of Karnataka. Results: Results revealed that the majority (99.1%) of the mothers had utilized hospital services for delivery. Around 82.2% of the mothers were aware of Janani Suraksha Yojana. However, 57.5% of the mothers have not received …


Adjustment And Self-Esteem Among Novice B Sc. Nursing Students Of Udupi District, Ankur Tiwari Mr, Savitha Prabhu Ms, Ansuya Jul 2020

Adjustment And Self-Esteem Among Novice B Sc. Nursing Students Of Udupi District, Ankur Tiwari Mr, Savitha Prabhu Ms, Ansuya

Manipal Journal of Nursing and Health Sciences

Background: Everyone makes a lot of adjustments to lead a good life. The atmosphere in college plays an important role in developing the self-esteem of the students. Objective: To find the correlation between adjustment and selfesteem among novice B.Sc. Nursing students. Methods: The study was conducted with 196 first year B.Sc. Nursing students using correlative study design. A convenient sampling technique was adopted. Socio-demographic proforma, adjustment assessment inventory and state self-esteem scale were used to collect the data. Results: The findings of the study revealed that among 196 students, 119 (60.7%) had a moderate adjustment, 50 (25.5%) had a good …


Knowledge Of Mental Health And Mental Illness Among Students Of Selected Health Professional Colleges, Henshaw Ekanem N S A Ms, Tessy Treesa Jose Dr, Asha K. Nayak Ms Jul 2020

Knowledge Of Mental Health And Mental Illness Among Students Of Selected Health Professional Colleges, Henshaw Ekanem N S A Ms, Tessy Treesa Jose Dr, Asha K. Nayak Ms

Manipal Journal of Nursing and Health Sciences

Introduction: For the effective delivery of mental health care, knowledge and awareness regarding mental illness has to be increased in the general population. Mental health has to be a concern for all of us, rather than only for those who feel pain from a psychological disorder. Objective: To determine the level of knowledge of mental health and mental illness among students of selected health professional colleges. Methods: The research approach was quantitative and descriptive survey design was used. The population in this study comprised of 385 first year students of selected health professional colleges who were selected through convenience sampling. …


Effect Of Nesting On Selected Physiological Parameters Among Preterm Babies, Hima P. Das Ms, Sreeja G. Pillai Ms, Molykutty Joyichan Jul 2020

Effect Of Nesting On Selected Physiological Parameters Among Preterm Babies, Hima P. Das Ms, Sreeja G. Pillai Ms, Molykutty Joyichan

Manipal Journal of Nursing and Health Sciences

This study was conducted to evaluate the effect of nesting on selected physiological parameters among preterm babies admitted in NICU of Pariyaram Medical College Hospital, Kannur. Methods: This is a quasi-experimental study with pre-test post-test design carried out among the 60 preterm babies consecutively selected as per inclusion criteria and the data was collected by using proforma for assessing socio-demographic data and physiological parameters monitoring chart. Results: The findings revealed that there is a significant difference in axillary temperature, heart rate, respiratory rate, SPO2, capillary refill time and activity including behavioral status, global posture, global tone, sucking reflex and stress …


Assessment Of Cognitive-Behavioral Symptoms And Functional Status Among Stroke Survivors, Chandel M, Shashi, Yashomati, Hemalata Jul 2020

Assessment Of Cognitive-Behavioral Symptoms And Functional Status Among Stroke Survivors, Chandel M, Shashi, Yashomati, Hemalata

Manipal Journal of Nursing and Health Sciences

Background: Stroke is one of the complex causes of death and disability. Stroke survivors often experience cognitivebehavioral and functional changes. Aim: The present study aims to assess the cognitive-behavioral symptoms and functional status among stroke survivors. Methods: A descriptive study was done in Neurology and Neurosurgery Out Patient Department of a tertiary care hospital in India. Consecutive 55 adult stroke survivors who were conscious and accompanied by the caregivers were included in the study. Standardized tools such as mini-mental status examination (MMSE), Neuropsychiatric Inventory Questionnaire (NIP-Q), and Barthel index were used to assess the cognitive, behavioral symptom, and functional status …


Primary Caregiver’S Knowledge And Attitude On The Care Of Cardio Vascular Accident (Cva) Patients, Vishnu Sharma Mr, Rajesh K. Sharma, Dipti Y. Sorte, Sanchita Pugazhendi Dr Jul 2020

Primary Caregiver’S Knowledge And Attitude On The Care Of Cardio Vascular Accident (Cva) Patients, Vishnu Sharma Mr, Rajesh K. Sharma, Dipti Y. Sorte, Sanchita Pugazhendi Dr

Manipal Journal of Nursing and Health Sciences

Introduction: In the world, the primary neurological problem is Cardio Vascular Accident (CVA) and 3rd prominent reason of death worldwide. CVA is a significant primary cause of early mortality and disability in India. When a patient is discharged from the hospital, he/she returns home with physical, mental and behavioral consequences that affect the patient’s functional capacity, autonomy, and independence that makes them dependent on others. The primary caregiver is the member who takes the responsibility of care, and play a vital role in the care of CVA patients. Objectives: The objectives of the present study were to assess the knowledge …


Electronic Surveillance Systems For Healthcare-Associated Infections (Hais): Prerequisite In Healthcare, Soumya Christabel Ms, Christopher Sudhaker Dr, Muralidhar Varma Dr Jul 2020

Electronic Surveillance Systems For Healthcare-Associated Infections (Hais): Prerequisite In Healthcare, Soumya Christabel Ms, Christopher Sudhaker Dr, Muralidhar Varma Dr

Manipal Journal of Nursing and Health Sciences

Abstract: The surveillance of HAI involves the systematic collation of HAI data, analysis and transformation into information and disseminating to those related who can take necessary action to combat HAI. HAIs pose a major problem today within healthcare. Detecting HAI poses the main challenge in healthcare. In the face of limited resources, surveillance in its traditional format is labour intensive. During the last few decades, healthcare-related infections impose a major burden on healthcare seekers. Conversely, with the use of information technology, substantial efforts have been made to improve the efficacy of HAI surveillance. This review highlights the progress made in …


Bilateral Hydronephrosis: A Case Report, Edlin Glane Mathias Ms, Vijay Kumar Dr, Sundeep P. T Dr Jul 2020

Bilateral Hydronephrosis: A Case Report, Edlin Glane Mathias Ms, Vijay Kumar Dr, Sundeep P. T Dr

Manipal Journal of Nursing and Health Sciences

Hydronephrosis involves the dilatation of the renal pelvis, calyces and ureter. It develops secondary to urinary tract obstruction and leads to a build-up of backpressure in the urinary tract. It can affect unilateral or bilateral kidneys and is caused either by blocking urine flow to the bladder or the urine is leaking backward through the reflux. We report a case of a 9-year-old child inpatient in a paediatric surgical unit. A cystoscopy revealed that the bladder is distended and the bladder wall is thickened. The child was on oral medication and the child had a good prognosis and was discharged …


Commissioning Of Covid-19 Hospital – Our Experiences, Naveen P. Kumar, Aishwarya ., Chandermani Madan Jun 2020

Commissioning Of Covid-19 Hospital – Our Experiences, Naveen P. Kumar, Aishwarya ., Chandermani Madan

Manipal Journal of Medical Sciences

No abstract provided.


‘In The Times Of Covid’ – Prose And Poetry During Lockdown– Mid-2020!, Vishak Acharya, Santosh Pv Rai Jun 2020

‘In The Times Of Covid’ – Prose And Poetry During Lockdown– Mid-2020!, Vishak Acharya, Santosh Pv Rai

Manipal Journal of Medical Sciences

No abstract provided.


Community And Health Workers’ Responses To Guidelines During Covid-19 Pandemic- A Critical Review, Ansuman Swain, Parul Malik, Kirtimayee Soumyadarshinee, Arathi P. Rao Jun 2020

Community And Health Workers’ Responses To Guidelines During Covid-19 Pandemic- A Critical Review, Ansuman Swain, Parul Malik, Kirtimayee Soumyadarshinee, Arathi P. Rao

Manipal Journal of Medical Sciences

On 30th January 2020, World Health Organization (WHO) declared the Coronavirus disease (COVID-19) as a Public Health Emergency of International Concern (PHEIC), and the first case in the Indian subcontinent was reported. Subsequently, following the directives issued by WHO, the nodal agencies related to health care services in the country like the Indian Council of Medical Research (ICMR) and Ministry of Health and Family Welfare (MoHFW); have been issuing guidelines to public and professionals to enable and equip them to combat and contain the pandemic. Guidelines about health care personnel, necessary infrastructure, personal protective equipment, prophylaxis, access and availability of …


Topical Tacrolimus With Colgate Oraguard‐B Paste For Managing Oral Lichen Planus: A Prospective Clinical Study Among Northern Indian Subjects, Gupta Vikas, Abhishek Singh, Mengi Arvind Jun 2020

Topical Tacrolimus With Colgate Oraguard‐B Paste For Managing Oral Lichen Planus: A Prospective Clinical Study Among Northern Indian Subjects, Gupta Vikas, Abhishek Singh, Mengi Arvind

Manipal Journal of Medical Sciences

Background: As of today, no standard treatment protocol nor preventive measures either exists for oral lichen planus. The present investigation aimed to test topical 0.1% tacrolimus as compared to Colgate Oraguard-B paste for managing lesions of oral lichen planus. Methods: It was a hospital-based prospective study with histopathologically confirmed 135 patients of oral lichen planus as subjects, which were provided with 0.1% tacrolimus ointment with Colgate Oraguard-B paste. The duration of treatment ranged from three to four months, with a follow-up of till two years. Study subjects were followed up every fifteen days. The results were expressed using mean and …


Health-Seeking Behaviour Of Myanmar Migrant Workers In Penang, Malaysia, Mila Nu Nu Htay, Lwin Mie Aye, Lin Phyo Phyo San, Zay Yar Naing, Soe Moe Jun 2020

Health-Seeking Behaviour Of Myanmar Migrant Workers In Penang, Malaysia, Mila Nu Nu Htay, Lwin Mie Aye, Lin Phyo Phyo San, Zay Yar Naing, Soe Moe

Manipal Journal of Medical Sciences

Introduction: The rapid development of socio-economic status in Malaysia has become a driving force to increase the influx of foreign migrant workers. This study aimed to explore the health-seeking behaviour of Myanmar migrant workers in Malaysia by identifying the common illnesses, types of accidents occurred, types of healthcare providers being sought and factors influencing health-seeking behaviour. Method: The crosssectional survey was conducted in Penang, Malaysia in 2017. The respondents were recruited by a convenient sampling method and interviewed by using the pre-tested questionnaire. The data were analysed using SPSS version 24.0. Results: The commonest form of illnesses they suffered from …


Elusive Clinico Radiological Appearance Of Late Presenting Congenital Diaphragmatic Hernia–A Case Report, Sweta Shanbhag, Shreedhara K. Avabratha, Kishan Shetty Jun 2020

Elusive Clinico Radiological Appearance Of Late Presenting Congenital Diaphragmatic Hernia–A Case Report, Sweta Shanbhag, Shreedhara K. Avabratha, Kishan Shetty

Manipal Journal of Medical Sciences

Late presenting congenital diaphragmatic hernia (CDH) is a rare subset of diaphragmatic hernias presenting beyond 30 days of life, which may be challenging to diagnose. A 3-year-old girl was referred to our hospital with an acute history of respiratory and gastrointestinal symptoms, with a suspected diagnosis of left-sided pneumothorax. Initial radiological evidence pointed towards left hydropneumothorax. A chest X-ray and ultrasound of the chest seemed to confirm the diagnosis, hence intercostal drainage (ICD) tube was inserted. Post ICD insertion, mediastinal shift to the right was persistent and CT scan of the chest showed herniation of stomach and bowel loops into …


An Epidemiological Study Of An Evolving Pandemic For Future Containment Strategies In Karnataka, Parul Malik, Prabhath M, Arathi P. Rao Jun 2020

An Epidemiological Study Of An Evolving Pandemic For Future Containment Strategies In Karnataka, Parul Malik, Prabhath M, Arathi P. Rao

Manipal Journal of Medical Sciences

Introduction: COVID-19 is a pandemic with a clinical spectrum ranging from mild to moderate respiratory infection to a fatal illness. Elucidating the epidemiology of such disease is important to understand and characterize its potential impact. Methods: This study is an epidemiological analysis of confirmed COVID-19 cases in Karnataka from 9th March to 7th June 2020 and aims to study patterns of the disease to provide useful analysis for measures that can be taken in the future. Results: The study concluded that young men were most infected while the mortality was higher among the elderly (Case fatality rate of 12.3% in …


Equity In Healthcare Services During The Time Of Covid-19 In India, Zubair Sabah Jun 2020

Equity In Healthcare Services During The Time Of Covid-19 In India, Zubair Sabah

Manipal Journal of Medical Sciences

Background: The paper highlights the challenges in providing healthcare services on equitable grounds keeping the priority as per the requirements. Method: The literature search was carried out using databases such as PubMed, Scopus and Google Scholar for the government reports. The language of included articles was restricted to English only. Result: Health equity plays a major role in mitigating the impact and consequences of the Coronavirus disease of 2019 (COVID-19). There is a difference and asymmetry in the healthcare delivery system of India as the healthcare system comes under the state government. Hence, there is a difference in the performances …


And This Too Shall Pass …!, Sunil R Jun 2020

And This Too Shall Pass …!, Sunil R

Manipal Journal of Medical Sciences

No abstract provided.