Journal of Postgraduate Medicine, Education and Research

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2020 | January-March | Volume 54 | Issue 1

EDITORIAL

Dr Adarsh Kohli

Be Here Now

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jpmer-54-1-iii  |  Open Access |  How to cite  | 

Original Article

Punita Sharma, Avondeep Dhaliwal, Suman B Sharma

Knowledge and Attitude Regarding Use of Hospital Information System among Nursing Personnel in a Tertiary Care Hospital in North India

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:4] [Pages No:1 - 4]

Keywords: Attitude, Hospital information system, Knowledge, Nursing personnel

PDF  |  DOI: 10.5005/jp-journals-10028-1345  |  Open Access |  How to cite  | 

Abstract

Background and objective: Hospital information system (HIS) is emerging as an essential component of healthcare. In the era of modern technology, hospitals need to be computerized to maintain electronic records of patients like admission, transfer, discharge, and death. The knowledge and attitudes of nursing personnel influence their effective use of the HIS. This study was designed to assess the knowledge and attitude among nursing personnel in using HIS. Materials and methods: Three hundred and fifty nursing personnel working in PGIMER were selected using a stratified random selection procedure using their employee numbers. Their knowledge and attitude were assessed by a validated questionnaire. Results and analysis: Out of 350 nursing personnel, 11% female and 73% male staff had used computers for more than 2 years. Thirty six percentage of males and 28% of female nursing staff got formal training from the Computer Department of PGIMER, Chandigarh. Fifty-nine percentage of males spent more than one hour daily in using computers. Less than 50% of subjects were able to answer the questions related to computers and HIS correctly. Male staff had more knowledge than females. Sixty-eight percentage of subjects had attitude that HIS does not help in reducing the duplication of work. Conclusion: The present study shows that most of the subjects were females, however, more males were using computers and spent more time on it than their counterparts spend.

Original Article

Sarika Prashar

Occupational Radiation Exposure during Pregnancy: A Personal Experience

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:3] [Pages No:5 - 7]

Keywords: Pregnancy, Radiation exposure,Fetal absorbed dose, Nuclear medicine

PDF  |  DOI: 10.5005/jp-journals-10028-1347  |  Open Access |  How to cite  | 

Abstract

Introduction: The maximum permissible dose limit to an occupational radiation worker has been universally fixed at 20.0 mSv per annum. However, this limit in the case of a pregnant radiation worker is set at 1.0 mSv as the developing embryo/fetus is considered as a member of the general public. Thus, a female radiation worker during her pregnancy encounters a typical situation where she has to keep a balance between the prescribed radiation dose restrictions and the professional commitment. Materials and methods: In the present article, the radiological safety officer describes her own experience and the radiation risk to the fetus during the entire period of pregnancy, using thermoluminescent dosimeters (TLD) badges and digital pocket monitors. Results: In the present study, the total radiation doses received during the two pregnancy episodes (as recorded by TLDs and digital pocket monitors) on the surface of abdomen were 550.0 μSv and 400 μSv, and 98.0 μSv and 88.0 μSv, respectively. Conclusion: Practically, pregnant workers can work safely by following appropriate shielding and radiation safety practices.

RESEARCH ARTICLE

Shubh M Singh, Chandrima Naskar, Yogender Malik, Shantanu Shukla, Vikas Suri

Assessment of Knowledge of Hypertension among Patients with Mental Illness Approaching a Community Psychiatry Service

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:4] [Pages No:8 - 11]

Keywords: Noncommunicable disease,Attitude, Awareness, Community psychiatry, Hypertension, Knowledge, Mental illness

PDF  |  DOI: 10.5005/jp-journals-10028-1344  |  Open Access |  How to cite  | 

Abstract

Aim: Hypertension is a common chronic disease which progressively and permanently damages target organs, leading to life-threatening complications and death. A lack of knowledge about hypertension may be detrimental to efforts at prevention and control of hypertension. Patients with mental illness are known to have greater cardiometabolic morbidity and mortality. This study aimed to assess the knowledge regarding hypertension among patients with mental illness in community settings of Punjab and Haryana. Materials and methods: One hundred eighty patients attending the community psychiatry clinic of at two rural locations of Haryana (Naraingarh and Raipurrani) and Punjab (Kharar and Nandpurkalor) were included. All patients were assessed for knowledge about hypertension by using a 29-item-adapted Hindi version of the patient-administered Hypertension Knowledge-Level Scale (HK-LS). Each correct response was marked as 1, and incorrect or no response was marked 0. Results: In the study population, the mean knowledge scores obtained was 20.87 (SD: 2.51; range: 14–28). A history of hypertension was available in 22.2% of participants. There was no statistical difference of the score on the knowledge questionnaire between those with and without hypertension. Conclusion: Results indicate an appreciable level of knowledge about hypertension in our study population. However, efforts at hypertension screening and education should continue. Clinical significance: The levels of knowledge of hypertension in patients with psychiatric disorders suggest that it may be feasible to study whether lifestyle modifications are actually in place and whether these are feasible.

CASE REPORT

Manish Rathi, Joyita Bharati, MB Adarsh, Ritambhra Nada, Aman Sharma, Krishan L Gupta

A Young Female with Fever and Proteinuria

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:3] [Pages No:12 - 14]

Keywords: Case report, Granuloma, Lupus nephritis, Tuberculosis

PDF  |  DOI: 10.5005/jp-journals-10028-1348  |  Open Access |  How to cite  | 

Abstract

Aim: We aim to describe an unusual association between systemic lupus erythematosus (SLE) and tuberculosis and the challenges of managing both simultaneously. Background: Systemic lupus erythematosus is an autoimmune disease with an underlying defect in innate immunity and a predisposition for various infections such as tuberculosis. On the contrary, tuberculosis is known to trigger the onset and/or flare of SLE. Case description: We report a young female with florid manifestations of SLE with proliferative lupus nephritis and coexisting disseminated tuberculosis complicated by tubercular granulomatous tubulointerstitial nephritis (GIN). She was treated with oral prednisolone (1 mg/kg/day) and mycophenolate mofetil (MMF) with antituberculous drugs. Following 6 months of therapy, she achieved complete remission and resolution of disseminated tuberculosis. Conclusion: Molecular methods help in appropriate diagnosis of renal tuberculous granulomas. This report discusses the interactions between tuberculosis and SLE and also reviews therapeutic options of immunosuppression in active lupus with concomitant tuberculosis.

CASE REPORT

Vimmi Gautam, Anant Basotia, Ramandeep Singh Virk

Neonatal Vallecular Cyst: Unusual Presentation with Near Catastrophic Respiratory Distress and Successful Treatment Using Endoscopy-assisted Plasma Ablation: A Case Report

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:2] [Pages No:15 - 16]

Keywords: Endoscope, Plasma ablation, Vallecular cyst

PDF  |  DOI: 10.5005/jp-journals-10028-1349  |  Open Access |  How to cite  | 

Abstract

Congenital vallecular cyst is a rare benign laryngeal lesion which may cause stridor and life-threatening upper airway obstruction in infants. We present a case of a 4-week-old child who had respiratory distress since birth and was intubated on day 3 of life. On failure of repeated extubation trial, the child was evaluated by the otolaryngology team and a direct laryngoscopy was done which showed a cyst in the vallecula obscuring 90% of the oropharyngeal lumen. Computed tomography scan was ordered which showed a hypodense round lesion in the vallecula confirming the diagnosis. The child underwent endoscopic-assisted plasma ablation of the cyst and was successfully extubated the next day.

BIOSTATISTICS SERIES

Rakesh Kapoor

Statistics Corner: FAIR Data Sharing

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:3] [Pages No:17 - 19]

Keywords: Data anonymization, Data cycle, Data sharing, De-identification, FAIR principle

PDF  |  DOI: 10.5005/jp-journals-10028-1351  |  Open Access |  How to cite  | 

Abstract

Reality check Data is the foundation of research and vice versa. The replication and verification of study findings are hallmarks of scientific research. Therefore, there is increasing thrust by the scientific fraternity to share data openly. The sharing of data is one problem. However, preparing shareable data without compromising study characteristics is another. Therefore, data sharing is challenging and not widespread despite increasing thrust. In the context of data sharing, the investigator needs to know: • What are the various phases in a typical data cycle? • What are the challenges in each phase of the data cycle? • What are the requirements of the data anonymization process? • What are the consequences of the Personal Data Protection Bill (PDP Bill, 2019) on the researcher?

Clinicopathological Conference Report

Dr Aravind Sekar, Dr Kollabathula Arpitha, Dr Arke De, Prof Harish , Prof Dr Kochhar

Acute-on-chronic Liver Failure in a Young Girl

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:4] [Pages No:20 - 23]

PDF  |  DOI: 10.5005/jp-journals-10028-1350  |  Open Access |  How to cite  | 

Reflections

Sandeep Patel, Pulak Vatsya

E-posters are Better than Traditional Posters: The Debate

[Year:2020] [Month:January-March] [Volume:54] [Number:1] [Pages:2] [Pages No:24 - 25]

Keywords: Poster, Publications, Traditional poster,Ephemera, E-Poster

PDF  |  DOI: 10.5005/jp-journals-10028-1346  |  Open Access |  How to cite  | 

Abstract

With the advent of this century, information technology has become an integral part of medical education and research. Posters have always been a strong medium of information dissemination amongst researchers and students alike. E-Posters are the talk of the hour, with most of the major events having provisions for the same. Some researchers consider it a must in today\'s world, whereas others still consider traditional posters as being more personal and having a stronger impact. This debate has been put forth in the following article, with each author putting forth their points in favor of their respective preferences and finally coming up with a conclusion about the topic.

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