Friday, 1 July 2016

IMJ Health : June 2016

Medical Journal June 2016 Issue

A Survey of Sexual Knowledge, Attitudes, Desire and Behavior among University Students

AbstractSexual health (SH) and sexual behavior of young people have become a growing public concern. But few studies have been conducted to investigate the prevalence and psychosocial correlates of this phenomenon.

Purpose: To understand college students’ sexual knowledge (SK), sexual attitudes (SA), sexual desire (SD) and sexual behavior (SB).

Methods: A self-reported questionnaire survey on SK, SA, SD, and SB was conducted among 520 university students. Their demographic data, SK, SA, SD, and SB were assessed.

Results: A total of 500 students completed the questionnaire. The SKS total score had a mean of 23.05; 105 (21.0%) subjects had had premarital sex; 121 (24.2%) had a partner; 117 (23.4%) had a medical educational background. The results demonstrated an increased risk of premarital sex amongst males and subjects with the risk factors of smoking, drinking, having a partner, and having higher levels of SD and SK and more open SA.

Conclusions: This study provides support for the idea that university students lack SK (especially regarding contraception knowledge), even though the students had a medical educational background. Additionally, a considerable amount of them engaged in premarital SB. Our findings also suggest that university students need sex education, particularly in combining sexuality with their life, in relating to others maturely as a sexual individual, in employing contraception, and in preventing sexually transmitted diseases (STDs). Our study suggests that interventions aimed at expanding university students’ SK and other related skills are required.

Keywords-- University students; Sexual behavior; Sexual knowledge; Sexual attitude

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Hutchinson – Gilford Progeria Syndrome with associated hypothyroidism: A rare case report

AbstractHutchinson–Gilford Progeria Syndrome is a rare genetic disorder characterized by premature aging involving the skin, bones, heart, and blood vessels. We report a five year old female child with clinical manifestations characteristic of this syndrome. This child had a senile look with large cranium, frontal bossing, sparse light brown hair and dilated visible veins over the scalp. Other features were prominent eyes, beaked nose, micrognathia, sclerodermatous changes in both feet and legs, laxed and atrophic skin over dorsum of both hands and mottled pigmentation over trunk. Decreased high-density lipoprotein (HDL) levels was characteristic of the syndrome. This case is reported for its rarity and uncommon relationship with hypothyroidism.

Keywords: Hutchinson, Gilford Progeria Syndrome, Hypothyroidism.

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Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Diabetes Mellitus (Type 2) and Non Diabetics after Phacoemulsification and Intraocular Lens Implantation

AbstractCataract is the main cause of blinding and Diabetes Mallitus (DM) is the one of major cause of early cataract. Patents of DM has poor So this study is aimed to assess the corneal endothelial cell count in patients of DM (Type 2)after phecoemulsification and intra-ocular lens implantation. This study was conducted on 66 patients of cataract, out of which 33 patients with and 33 without DM (Type 2). Both groups underwent pre operative investigation and ophthalmological assessment and then undergo phacoemulsification done by same surgeon. After phacoemulsification all cases were followed up on 1st day ,1st week,1 month and 3 months and Uncorrected visual acquity (UCVA), Best corrected visual acquity (BCVA),corneal thickness, endothelial cell count and morphometric analysis were recorded. Both groups parameters were compared with unpaired 't' test. At the end of 3 months it was found that the mean endothelial cell loss in Group A(Diabetic) was 6.9% ± 0.6 and in Group B (control) was 2.4% ± 0.3 suggesting that the corneal endothelium in diabetic patients is under metabolic stress, and weaker against mechanical loads, such as phacoemulsification, than that in non-diabetic subjects. Despite good glycemic control and no corneal abnormalities before surgery. Endothelium in diabetic subjects is more vulnerable to surgical trauma and has a lower capability in the process of repair. These findings should be considered when planning cataract surgery in patients with diabetes.

Keywords: Diabetes Mellitus Type 2, Glycemic Control, Corneal Endothelial Cells, Phacoemulsification, Cell Repair.

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Awareness of Infant Feeding: Nursing Program Student Survey

AbstractChild nutrition is an important factor for their physical and neuro-psychological development and overall health not only in childhood but also in adulthood. The World Health Organization recommends that mothers should be informed about the advantages and the enormous benefits of breastfeeding. It is part of the professional responsibility of nurses to promote good health care habits among women in fertile age and raise the overall health awareness of parents. The aim of the study was to research the knowledge of infant feeding among students in the Nursing Program. An anonymous survey was conducted among students in the Nursing I class. The survey group included a total of 51 students, ranging from 19 to 47 years old. All analyses were conducted using Statgraphics Plus software, version 2.1. It was found that students rate the advantages of breastfeeding for the mother as follows: faster recovery (29.4%); reduces the risk of cancer in women (21.6%), faster recovery of the weight of the mother before birth (27.5%). The majority of students were able to point out specific steps to successful breastfeeding and the respective time schedules of infant feeding (70%). The study found less satisfactory results of the participants’ knowledge on how to prepare infant dairy blends 19 (30.3%) and the duration of breastfeeding in 11 (21.6%). It can be concluded that students in the Nursing Program demonstrate good knowledge of infant nutrition.

Keywords: Infant Nutrition, Health Awareness Promotion, Student Knowledge, Nurse, Education.

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Relation between Type of Architecture, Interpersonal Relationship and Spiritual Health of Resident

AbstractBy providing proper architecture as per the need and behaviour of the individuals a person may be satisfied with surrounding that may affect spiritual health of individual and in turn the overall health. So this study was conducted on two type of housing society with the aim to find out relationship between type of architecture, interpersonal relationship and spiritual health of their residents.

Methodology: A comparative observational was conducted on two type of housing society having same SES status class I but with different type of architecture. Various components of architecture of their houses was assessed of these houses and general information gathered from head of family. Interpersonal relationship of societies was assessed by applying 9 itemed self reported Relationship Structures (ECR-RS) questionnaire for neighbors on head of family. Spiritual health of head of family was assessed with Spiritual Health Assessment Scale (SHAS). The relationship between type of architecture, interpersonal relationship and level of spiritual health was inferred by Chi-square test and Unpaired 't' test.

Result & Conclusion: It was also found out that Interpersonal relationship were significantly better of society having architecture preferring more of comfort and ambiences than safety and vice versa. Likewise spiritual health score was observed significantly higher in occupants having architecture preferring more of comfort and ambiences than safety and vice versa.

Keywords— Architecture, Interpersonal Relationship, Spiritual Health

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Association of Spiritual Health and Psycho wellness in First MBBS Students

AbstractSpiritual health is not given its due importance since long time. But nowadays modern medicine is seen in relation to spiritual health. and studies were conducted to find out its effect in various diseases. So this study was conducted on medical students of SMS Medical College, Jaipur (Rajasthan) India. aimed to assess the spiritual health and its association with psycho wellness. A cross-sectional study was conducted on 1st MBBS students present on the day of survey were given spiritual health assessment scale (SHAS) to assess the their spiritual health. Then these students were screened through Modified Mini Scale (MMS) to found out zone of psycho wellness i.e. red and orange zone of psycho-wellness. Association was inferred by Chi-square test and ANOVA with Post-hoc Tukey test. Out of 230 students attend on the day of survey, majority of students i.e.164(71.3%) were having good spiritual health. Likewise only 132 students (57.39%) were in green zone (no disease zone), while 36(15.65%) students were in orange (borderline) and 62 students (26.96%) were in red zone (Psychiatric disease zone) of psycho-wellness. On analysis it was found that Mean scores of spiritual SHAS of green zone was significantly high than mean SHAS scores of other zones. Majority of students were having poor spiritual health and this spiritual health was strongly associated with psycho-wellness of students. Poorer the spiritual health of students leads to poorer the psycho-wellness of students.

Keywords Spiritual health, Psycho-wellness, Spiritual Health Assessment Scale (SHAS), Modified Mini Screen (MMS), Medical students

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