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1.
Artigo | IMSEAR | ID: sea-218699

RESUMO

The study was conducted to explore the relationship of narcissism with social loafing and self-compassion. The study was conducted on 200 government school students.The Narcissism scale was developed by the researchers, Social Loafing Scale (SLS) by Q.G. Alam and Ramji Srivastava (2008) and Self-compassion Scale (SCS) by Kristin Neff (2003) were used to collect the data. The results revealed a no significant gender differences in narcissism of school students. But there were significant locale wise differences in narcissism among school students. It was also found that there is a significant positive relationship of narcissism with both self-compassion and social loafing.

2.
Artigo | IMSEAR | ID: sea-218661

RESUMO

The study was conducted to explore the relationship of narcissism with meta-cognition and demographic variable. The study was conducted on 200 government school students. The Narcissism scale was developed by the researchers and Meta-Cognition scale by Mubarak Singh and Ana Bali (2017) were used to collect the data. A separate sheet was given to the students to fill their demographic information. The results revealed a significant locale and category wise difference in narcissism of school students. But there was no significant difference in narcissism scores among school students in relation to their parental education and parental income. It was also found that there is a significant positive relationship between narcissism and meta-cognition.

3.
Artigo | IMSEAR | ID: sea-185214

RESUMO

Introduction:This study assesses the outcome of interlocking tibia nail in comminuted fractures of tibial diaphysis. Objectives: To study the functional outcomes of interlocking tibia nail in comminuted tibial diaphyseal fractures, with respect to time to bony union, mobility achieved, complications of the procedure and secondary procedures. Material and Methods: The present prospective study included 25 patients of comminuted fracture shaft of tibia admitted to the Department of Orthopaedics at MMIMSR, Mullana and at Civil Hospital, Rajpura who were managed with interlocking tibia nail. Results:All 25 cases united with interlocking nailing. 1 case needed additional exchange nailing and bone grafting. 3 cases had a malunion but had an acceptable functional outcome. Conclusions: Due to the simple surgical technique, good healing rate and minimum complications, it is recommended that interlocking tibia nail should be used in comminuted fractures of tibial diaphysis

4.
Artigo | IMSEAR | ID: sea-203245

RESUMO

Background: There is complete absence of teaching of ethicsas a part of medical curriculum. There is now an urgent need toteach ethics to medical graduates in India because ofincreasing incidence of disconnect between doctors andpatients leading to allegations like unethical treatment practicesby doctors and use of force by patients and relatives againstdoctors. Medical Council of India (MCI) has also realized theurgency to impart the training of ethics to medical graduates inIndia as described in its Vision-2015 document.Aim and Objectives: To develop a module on “Medical Ethicsin patient care” and to assess its feasibility.Methodology: The study was conducted in the Department ofPharmacology, Gian Sagar Medical College and Hospital,Punjab from the period of March 2017 to December, 2017 afterIEC approval. The topics to be covered in the module forteaching “Medical ethics in patient care” were finalized throughFocus Group Discussions (FGDs) with the core faculty and themembers of Medical Education Unit (MEU). A module forteaching Medical ethics in patient care was developed. Modulewas of 10 hours’ duration and involved interactive lectures,PowerPoint presentations, case-based learning as the mostcommon teaching-learning methods. Along with the module,pre-post-test questionnaire to assess the improvement in theknowledge of students was developed and validated.Feedback questionnaires, based on 5-point-Likert scale, weredeveloped and validated to know the students’ perceptionregarding the teaching of medical ethics and faculty’sperception on the effectiveness of the module. A pilot run of themodule was conducted on 15 students of 2nd Prof MBBS todetermine the feasibility of the module. Pre-post-testquestionnaires were administered to the students and thefeedback taken from the students and the participating faculty.Findings: A module on medical ethics on patient care wasdeveloped and validated. There was significant improvement inknowledge of the students as evident from their pre and posttest scores (10.47 to 25.47). The improvement in knowledge ofvarious aspects of medical ethics was also calculated. Therewas a statistically significant improvement in knowledge in allsessions. The observations of the qualitative data analyzedfrom the feedback given by the students revealed that theyfound it useful and relevant and would implement theknowledge gained.Conclusions: The feedback of the students and the facultywas very positive and encouraging. The development of thismodule would help in teaching the 2nd Prof students in medicalethics, which would be helpful to them in clinics and life-long.The seed of medical ethics would help grow a tree of gooddoctor-patient relationship which would ultimately help to growhealth of the society.

5.
Artigo | IMSEAR | ID: sea-188820

RESUMO

Drug resistance is a threat to TB control program worldwide. Patient infected with multiple drug resistant strains are less likely to become cured. Management of resistant cases is complex and presents therapeutic limitations. Patients with multidrug resistant strains are more prone to treatment failure, progresses to more chronic forms of the disease and death. In most areas of the world, the routine use of drug susceptibility tests, let alone cultures to diagnose tuberculosis or multidrug resistant tuberculosis is beyond the scope of health care resources. According to Global Tuberculosis Report 2015, about 3.3% of newly diagnosed patients had multidrug resistant tuberculosis and 20% of previously treated Tuberculosis cases were estimated to have Multidrug resistant Tuberculosis (MDR-TB). This present study was conducted in the department of chest and TB, Government medical college, Amritsar, with an aim to study the clinico-radiological profile of patients with multidrug resistant tuberculosis. Methods: A prospective study was conducted at the Chest and TB hospital, Amritsar which included 100 diagnosed patients of Multidrug Resistant Tuberculosis. Clinicoradiological profile of these patients was determined. Results: Out of 100 study population, maximum number of patients belonged to the age group of 21-30 years i.e. 26% followed by 22% in the age group of <20 years. Most common symptom was cough with expectoration which was present in 94 (94%) patients. 97 (97%) patients were having previous history of ATT, 3 (3%) patients were not having any previous history of ATT. On radiology unilateral disease was present in 48 (48%) patients, bilateral disease present in 52 (52%) patients. Parenchymal infiltration was present in 79 (79%) patients. Cavitation was present in 23 (23%), Fibrocavitary disease was present in 37 (37%) study subjects. Previous history of ATT had significant association with extent of lesion on chest x- ray (p < 0.05). Conclusion: clinico-radiological characteristics should always be determined where appropriately administered drugs have not achieved necessary drug levels to deal with all the population of mycobacteria, to timely modify and strengthen the national programs, and evaluation of trends in drug resistance pattern.

6.
Artigo | IMSEAR | ID: sea-188819

RESUMO

Drug resistance is a threat to TB control program worldwide. Patient infected with multiple drug resistant strains are less likely to become cured. Multidrug – resistant and extensively drug -resistant tuberculosis continues to emerge in high HIV prevalence settings, and their mortality in HIV co-infected patients remain high. Methods: This retrospective study was carried out at DR-TB centre, Amritsar. This study included drug resistant TB cases registered over the period of 2012 to 2018 at DR-TB centre, Amritsar. Results: A total of 1163 patients of Drug resistant tuberculosis were registered during the period of 7 years , among these 1027, 39 and 97 patients were of MDR, XDR and isoniazid monoresistance respectively. The prevalence of HIV seropositivity was 2.7%, 2.9% and 2.6% in total drug resistant cases, MDR and XDR cases respectively. No case of isoniazid mono-resistance was found positive for HIV. And only one case with primary MDR tuberculosis was HIV positive. Conclusion: In this high drug-resistant TB settings, previous TB treatment failure was strong risk factor for both MDR and XDR-TB in HIV seropositive patients. And HIV seropositivity was more prevalent in MDR-TB cases.

7.
Artigo em Inglês | IMSEAR | ID: sea-148274

RESUMO

Sleep deprivation can lead to various alterations at physiological and psychological levels such as EEG changes, metabolic changes, irritation, blurred vision, memory lapses, hallucinations, psychosis and can even lead to death. Treatment still remains a challenge as hypnotics are associated with side effects. The objective of the present study was to investigate the protective effects of melatonin and buspirone and their combinations against the biochemical and behavioral alterations induced by 48 hrs sleep deprivation in mice. Pretreatment with melatonin (2.5 mg/kg and 5 mg/kg), buspirone (5 mg/kg and 10 mg/kg), and melatonin (2.5, 5 mg/kg) in combination with buspirone (5 mg/kg) showed significant improvement in behavioral parameters such as increase in body weight, increase in locomotor activity, and reduction in anxiety like behavior. Biochemical parameters estimation also revealed similar results such as significant attenuation of lipid peroxidation and nitrite concentration and significant elevation of glutathione and catalase levels following treatment with melatonin (2.5, 5 mg/kg) and buspirone (5,10 mg/kg) and melatonin (2.5, 5 mg/kg) in combination with buspirone (5 mg/kg) as compared to their effect per se. Thus, preliminary findings suggest the protective effect of melatonin and buspirone and their combinations against sleep deprivation and associated alterations.

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