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Kumar M, Kaur S, Aggarwal A, Salunke P, Mittal M. Determinants of Ruptured Cerebral Aneurysm and the Presenting Symptoms among Patients with SAH Admitted at a Tertiary Care Center in North India. 2021; 14 (1):2-7.
Introduction: Aneurysmal subarachnoid hemorrhage (SAH) is a serious disease with high rates of mortality and morbidity. The current study is carried out to assess the risk factors and clinical profile of the patients with aneurysmal SAH presenting to a tertiary care center in India.
Materials and methods: A single-center cross-sectional study was carried out on 65 cerebral aneurysm patients with an aneurysmal SAH. The sociodemographic details, comorbidities, risk factors, and the presenting symptoms experienced by the patients at the time of rupture of aneurysm were recorded by using a pre-validated questionnaire.
Results: The age of the participants ranged between 41 and 55 years and the majority were female. Maximum had experienced severe headache followed by vomiting and neck stiffness before rupturing of the aneurysm. Age above 45 years followed by hypertension, female gender, and smoking were identified as major risk factors among the study subjects.
Conclusion: Advanced age, smoking, and female gender are found main risk factors with severe headache, vomiting, and neck rigidity as main symptoms. Risk factors and symptoms are important to know for future research and preparing treatment modules.
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Iniyaval R, Jayanthi B, Sankar L, Renuka K. A Study to Assess the Prevalence and Contributing Factors of Abnormal Uterine Bleeding among Women Admitted in MGMCRI from January to December 2019. 2021; 14 (1):8-10.
Introduction: About 30% of women may have unexplained uterine bleeding at some stage in their lives. There are considerable costs to both the economy and the health sector, in addition to the direct effects on the woman and her family. After excessive bleeding has been established, the acronym PALM-COEIN is increasingly being used to classify the causes.
Objectives: To assess the prevalence and to find out the contributing factors of abnormal uterine bleeding (AUB).
Materials and methods: A retrospective study approach was adopted with a descriptive research design. The population for the study includes women diagnosed with AUB. The tool contains demographic variables of women with AUB, clinical variables, and contributing factors to assess AUB by using PALM-COEIN classification.
Results: With regard to age, the maximum 213 (78%) were in a group of 40 years and above. In the menstrual cycle, 159 (58.2%) were having a regular cycle. Out of 273 women, 202 (74%) have no previous history of medical illness. The value of body mass index (BMI) shows 151 (55.3%) had normal BMI. The prevalence rate was 6.94%. About 93 (34.1%) had maximum contributing factor with adenomyosis. Then, 50 (18.3%) had iatrogenic as a contributing factor. There is no malignancy and hyperplasia and coagulopathy as a contributing factor. According to the findings of this report, AUB can cause unnecessary disruption in women\'s daily activities, as well as serious medical consequences or exacerbation of anemia.
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Revathi D, Danasu R. Effectiveness of Video-assisted Teaching on Knowledge and Attitude Regarding De-escalation and Breakaway Technique for Aggressive Behavior among Staff Nurses, at Selected Hospitals, Puducherry. 2021; 14 (1):11-14.
Background: Nursing staff are particularly vulnerable to aggression because they are frequently on the front lines: physical assault at work was reported by 46% of nurses working in working-age psychiatric services and 64% of nurses working in older people\'s psychiatric services, respectively. Nursing and Midwifery Council (NMC), 2001, p. 104, this study is based on video-assisted teaching is an awareness program about de-escalation and breakaway technique knowledge and attitude should be improved among staff nurse.
Aims and objectives: To assess the level of knowledge and attitude regarding de-escalation and breakaway technique among staff nurses, to assess the effectiveness of video-assisted teaching on knowledge and attitude, and to associate the level of knowledge and attitude regarding de-escalation and breakaway technique among staff nurses in the experimental and control groups with their selected demographic variables.
Materials and methods: The study employed a quasi-experimental, non-randomized control group design. A convenience sampling technique was used to select a sample of 200 staff nurses. A structured closed-ended questionnaire and the management of aggression and violence attitude scale (MAVAS) were used to assess it.
Results: The study found that video-assisted teaching had a statistically significant impact on staff nurses’ knowledge and attitudes about de-escalation and breakaway techniques for aggressive behavior at the p value 0.001 level.
Conclusion: According to the findings, video-assisted teaching was effective in improving staff nurses’ knowledge and attitudes about de-escalation and breakaway techniques for aggressive behavior.
Jewellery made women elegant, confident, and a part of daily life. The novel birth control technique can help comply with the drug regimen. The contraceptive jewellery aids women to adhere more with the use of contraceptives and enhance the accomplishment of contraception. Contraceptive hormones and other drugs were administered through a special backing on jewellery such as earrings, rings, necklaces, or wristwatches that provides a new path for birth control. It improves compliance with the drug regimens with regular dosages and aids universal earring back that can be paired with many different earrings. It works only with the skin-permeable drugs that require the administration of small quantities to fit into the patches and used for a week. It was excellent future innovative birth control measure, prompts compliance with drug regimen, and increases the rate of contraception.
The prevalence of novel coronavirus disease (COVID-19) is increasing day by day locally, nationally, and internationally. The common mental health problems experienced by the healthcare workers (HCWs) are anxiety, stress, depression, and insomnia. In all, 59% of HCWs are experiencing moderate to severe perceived stress. Symptoms of depression and anxiety were found in one of five healthcare professionals. The occurrence of anxiety and depression was high among female HCWs and nursing staff. The prevalence of anxiety for doctors was 21.73% and nurses was 25.80%. The prevalence rate of depression for nurses was 29.65% and for the doctors was 24.5%. Four in 10 HCWs are experiencing sleeping difficulties and/or insomnia. Estimated insomnia prevalence rate was 38.9%. The possible solutions to overcome the mental health problems among HCWs are increased manpower, community awareness, adequate knowledge about virus prevention and transmission, social isolation, and adequate supply of personal protective equipments (PPEs).
Twin anemia-polycythemia sequence (TAPS) is characterized by a massive difference in red blood cells between two monochorionic (MC) embryos despite indication of a syndrome of twin oligo–polyhydramnios.1 A nulliparous woman has an MC twin diamniotic switched for premature labor.2
A new tuberculosis (TB) medication includes the active ingredient bedaquiline. Sirturo is a brand name for a drug that belongs to the diarylquinoline class of drugs. Bedaquiline is a diarylquinoline antimycobacterial drug that works by blocking an enzyme within the bacteria that cause TB. It prevents the proton pump of mycobacterial adenosine 5′-triphosphate (ATP) synthase. Bedaquiline is metabolized in hepatic form and eliminated in the feces. Bedaquiline is effective and safe in treating multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) patients. This drug treatment regimen was well supported and tended to a good result in this clinically relevant patient associated with MDR-TB.