scholarly journals STRESS RESPONSE;

2017 ◽  
Vol 24 (09) ◽  
pp. 1398-1402
Author(s):  
Ghazala Jawwad ◽  
Humaira Fayyaz Khan ◽  
Amanat Ali

Introduction: Psychological stress activate two axes: Hypothalamic- Pituitary-Adrenal axis and Sympathoadrenal axis leading to production of cortisol and catecholamines.Autonomic disturbances in the body can be evaluated by estimating heart rate variability.Study Design: Cross sectional study. Setting: Islamic International Medical College. Period:June 2014 to December 2014. Materials and Methods: Subjects were labeled as stress andcontrol on basis of DASS questionnaire proforma. Morning Cortisol level of all the subjectswas measured by quantitative ELISA method. Heart rate variability recording of all the subjectswas done. Results: Low frequency in absolute and normalized unit and low to high frequencyratio was significantly higher in stressed group, compared to control (p≤ .05, p ≤ .001, pp ≤.001 respectively). High frequency in normalized was significantly lower in stressed subjects,compared to control (p ≤ .001). Cortisol level was significantly higher in the stressed group incomparison with control (p ≤ .05). Conclusion: Stress can lead to increase morning cortisollevel and can cause autonomic disturbances which can be evaluated by measuring heart ratevariability.

2021 ◽  
Vol 10 (29) ◽  
pp. 2171-2175
Author(s):  
Shelley Seth

BACKGROUND Dysmenorrhoea is the most common gynaecological problem. Almost half of the female adolescents suffer from it resulting in a major cause of school / college absenteeism. We tried to find out the prevalence of dysmenorrhoea among female adolescents in a suburban population and investigate a potential association between the body mass index, dietary habits and behavioural factors and its correlation with absenteeism. METHODS A cross sectional study was done on 270 adolescent females attending outpatient department of a suburban medical college. We interviewed the selected adolescent girls using a pretested semi structured questionnaire after obtaining their or their parents consent. Statistical analysis was done using frequencies, percentages and chi square test with statistical software package SPSS version 20. RESULTS Total 270 unmarried adolescent girls were interviewed. Among them 51.1 % girls suffered from dysmenorrhoea. 58.7 % patients suffered from mild dysmenorrhoea whereas 27.5 % and 13.8 % suffered from moderate and severe dysmenorrhoea respectively. 59.02 % of girls with normal BMI and 54.55 % of obese girls suffered from dysmenorrhoea. Only 16 % patients with mild dysmenorrhoea were absent from their school or college whereas 63.1 % and 84.2 % of patients with moderate to severe dysmenorrhoea had school or college absenteeism respectively. 74.47 % of patients used to take self-medication. CONCLUSIONS Dysmenorrhoea was a significant cause of absenteeism and habit of self-medication was prevalent. Introduction of a school health program for menstrual health might improve the issues. KEY WORDS Menstruation, Dysmenorrhoea, Adolescents


2017 ◽  
Vol 22 (4) ◽  
pp. 760-764
Author(s):  
Tapas K. Kundu ◽  
Pradip B. Barde ◽  
Ghanshyam D. Jindal ◽  
Farooq F. Motiwala

Background. Status of autonomic homoeostasis in hemostasic disturbances due to hemophilia needs to be studied. Objectives. To compare autonomic nervous system markers measured by heart rate variability (HRV) and blood flow variability (BFV) in hemophiliacs and healthy age-matched control population using medical analyzer system. Design. Cross-sectional study. Settings. Motiwala Homoeopathy Medical College, and Hemophilia Clinics, Nashik. Subjects. Eighty subjects. Interventions. Nil. Outcome Measures. Autonomic function markers for HRV and BFV. Results. Among 80 subjects, BFV time domain measure, root mean square of successive NN (normal-to-normal) interval differences (RMSSD), was significantly higher among hemophiliacs than nonhemophiliacs. Frequency domain analysis parameter, low frequency for both HRV and BFV was significantly higher among hemophiliacs as compared with nonhemophiliacs. Conclusions. Hemophiliacs were shown to have higher autonomic activity as compared with healthy controls. Homoeopathic medicines used as an adjunct was associated with decrease in parasympathetic modulations.


2021 ◽  
Vol 16 (2) ◽  
pp. 119
Author(s):  
Kinanthi Dewi Mutiek ◽  
Mohammad Fanani ◽  
Adi Magna Patriadi Nuhriawangsa

Emotional eating is the propensity to eat in response of negative emotions such as stress, anxiety and depression. Adolescents with overweight may experience an increase in leptin levels as well as disruption of serotonin resulting in disruption of sensitivity in regulating appetite and emotions, thereby causing emotional eating. Emotional eating can be aff ected by several factors including gender and fulfi llment of nutrients such as tryptophan and vitamin B3 as substances that help the production of serotonin in the body. This study aimed to examine the relationship between gender, tryptophan and vitamin B3 consumption patterns with emotional eating in overweight adolescents. This was cross sectional study in adolescents ranges 15–18 years with overweight or obesity status in Surakarta. In total 122 adolescents taken by purposive sampling method. Emotional eating data were obtained from the Eating and Appraisal Due to Emotions and Stress (EADES) questionnaire while the consumption patterns data were obtained using Food Frequency Questionnaire (FFQ). This study that there was a relationship between tryptophan consumption pattern with emotional eating in overweight adolescents, but there was no relationship between gender and vitamin B3 consumption pattern with emotional eating in overweight adolescents. It can be concluded that there was a relationship between Tryptophan consumption pattern with emotional eating in overweight adolescents and there was no relationship between gender and vitamin B3 consumption pattern with emotional eating in overweight adolescents.


Author(s):  
Ambika Sood ◽  
Pancham Kumar ◽  
Rakesh Sharma ◽  
Deepak Sharma ◽  
Sanya Sharma

Background: MIS-C as a disease has varied symptoms and signs that affect multiple organs and systems in the body. The present study aimed to describe the clinical presentation among children admitted as a case of multisystem inflammatory syndrome in children in Indira Gandhi Medical College, Shimla.Methods: We conducted a cross sectional study of children with MIS-C from January to July 2021, in the pediatric ward of Indira Gandhi Medical College Shimla in Himachal Pradesh. All children admitted with a diagnosis of MISC were included in the study. Data regarding clinical presentation was extracted and analyzed using Epi Info V7 software.Results: In the present study, a total of 31 children diagnosed and admitted as a case of multisystem inflammatory syndrome in children (MIS-C) were included. Mean age of these children was 7.12±4.78 years. Among the total 16 (51.6%) were males while 15 (48.4%) were females. All 31 patients had presented with fever and 13 (41.9%) patients had fever with rash. 5 (16.1%) had cough, 1 (3.2%) child presented with hematemesis, 18 (58.1%) had tachypnea at presentation and 15 (48.4%) patients had respiratory distress. 16 (51.6%) children had complaints of vomiting, 1 (3.2%) presented with bleeding diathesis and 12 (38.7%) had hematuria, 5 (16.1%) had seizures and 8 (25.8%) presented with encephalopathy. 19 (61.3%) children had hypotension, 15 (48.4%) had hepatomegaly and 15 (48.4%) had splenomegaly.Conclusions: It is very essential to characterize this syndrome to fully understand its spectrum, therefore we need to be continuously watchful for its varied clinical presentations, both for ensuring an early diagnosis and treatment of patients suffering from MIS-C.


2021 ◽  
Vol 59 (234) ◽  
Author(s):  
Poonam Singh ◽  
Naveen Phuyal ◽  
Sagar Khadka ◽  
Minani Gurung

Introduction: The study of clinical anatomy is inseparable from cadaveric dissection. However, scarcity of cadavers is observed all over the world. So, body donation is propounded and is a major source of cadavers worldwide. However, nowadays, there is a scarcity of cadavers for the body dissection in the medical course & also due to the rise in the number of medical institutions in Nepal. This research aimed to find out the knowledge of medical and nursing students at a medical college regarding human body and organ donation. Methods: A descriptive cross-sectional study was conducted among 400 medical and nursing students in a tertiary care hospital of Kathmandu valley. After obtaining ethical approval, a semistructured questionnaire was used to collect the data. Data were analyzed using Statistical Package for Social Sciences version 20.0. Results: Most of the respondents, 360 (90%) knew that organs could be donated from living donors as well as cadavers. A majority of the respondents 374 (93.5%) said that bodies could be donated for educational and learning purposes. The eyes were the most commonly donated organ. One hundred seventy five (43.5%) of the respondents were motivated to donate their bodies or organs. Self-motivation followed by motivation through media by celebrities, family members, and faculties were seen among the participants. Conclusions: We need a proper voluntary body donation act to facilitate medical teaching with the proper motivation of people for this generous gift to further the knowledge and expand the field of medical science.


Author(s):  
Debdutta Haldar ◽  
Kunal Kanti Majumdar ◽  
Shilpa Karir ◽  
Arun Kumar Chakraborty ◽  
Ankita Dey ◽  
...  

Background: Blood is the only oxygen transporter in the body and is crucial in saving lives. Research has failed to find a true substitute for blood and blood components and depends on human donors. There are several infectious and non-infectious risks associated with transfusion. An unsafe transfusion is very costly from both human and economic points of view. In that perspective the present study is aimed to assess the profile of blood donors. The objectives of the study were to assess the profile of blood donors as per records of Blood Bank of a private medical college of Kolkata and to find out the prevalence and trends of transfusion transmitted infections among those donors.Methods: A record based cross sectional study was conducted for the period May 2013 to April 2016 at Blood Bank of a private medical college and information regarding 5383 blood donor’s profile were collected and analysed. Results: The total donors were found to be 5383 out of which (87.72%) were voluntary donors and (12.28%) replacement donors. The donors had a male predominance (79.84%). The most available blood group was B+ (49.42%) and the least available blood group was A- (0.38%). The commonest transfusion transmitted infection was Hepatitis B (1.11%) followed by Hepatitis C (0.28%) and HIV (0.21%). The transfusion transmitted infections (TTI) shows a decreasing trend over the 3 years. Conclusions: The voluntary donors have increased over the 3 years but there is always a male predominance. The pattern of TTIs in the blood bank depicts the national trend too. 


Author(s):  
Remko Soer ◽  
Marianne W.M.C. Six Dijkstra ◽  
Andre Bieleman ◽  
Frits G.J. Oosterveld ◽  
Noortje Rijken

BACKGROUND: Many patients visiting physiotherapists for musculoskeletal disorders face psychosocial challenges which may form a large barrier to recover. There are only a limited number of evidence based psychosocial therapies, but they are mainly based on breathing exercises. OBJECTIVE: to study which respiration frequency would lead to the highest relaxation, reflected in vagal tone derived from the heart rate variability (HRV) in healthy subjects. METHODS: A randomized controlled cross sectional study was performed. Respiration cycles of four, five, six, seven and eight breaths per minute (BPM) were delivered in randomized order for two minutes each. HRV metrics were measured during the sessions with electrocardiogram (ECG). Repeated Measures ANOVA’s were performed to analyze differences between breathing frequencies. RESULTS: 100 healthy volunteers were included (40 male). Standard Deviation of inter beat intervals (SDNN) values were significantly highest at 5 BPM, whereas the Root Mean Square of Successive Differences (RMSSD) values appeared highest at 7 breaths per minute (p< 0.01). High Frequency (HF) power was lowest at 4 BPM, whereas Low Frequency (LF) power was not significantly influenced by respiration frequency. CONCLUSIONS: Breathing at a frequency of 5 to 7 breaths per minute leads to highest HRV values, but there is no single respiration ratio that maximizes all metrics. Physiotherapists may use five to seven BPM as guidance to determine ideal breathing frequencies.


2015 ◽  
Vol 4 (2) ◽  
pp. 49-54
Author(s):  
Masuda Khatun ◽  
Lubna Khondker ◽  
SM Bakhtiar Kamal

Psoriasis is one of the major public health problems. It creates a major psychological as well as cosmetic problem and a vast reduction of quality of life in developing countries as well as developed countries as stress is considered to play an important role on the onset and exacerbation of psoriasis. To evaluate influence of stress factor in psoriasis. An observational cross-sectional study was conducted with patients with psoriasis who attended the Department of Dermatology and Venereology, Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of July 2015 to June 2016. Divorce was presented in 8.1% cases, 51.3% cases had severe life threatening diseases affecting the patient or close family members, 45.1% patients had history of deaths within the close family members, 39.8% patients had serious financial difficulties and 4.4% patients had harassment at school, 65.5% patients experienced first outbreak of psoriasis during a period of stress. About 41.6% psoriatic patients became worse during times of Stress. 38.9% patients had a tendency to break out during times of stress. This study demonstrated that the stress factor is of paramount importance for the development and aggravation of psoriasis. CBMJ 2015 July: Vol. 04 No. 02 P: 49-54


2021 ◽  
Vol 15 (10) ◽  
pp. 3287-3289
Author(s):  
Najma Shoaib ◽  
Nida Yousaf ◽  
Roman Akram ◽  
Asma Inam ◽  
Saboohi Saeed

Objective: To analyze the knowledge and attitude among medical students regarding organ donation. Study design: A cross sectional study Placement and Duration: The study was conducted during the period of six months from September 2019 to March 2020 at Azra Naheed Medical College Lahore. Materials and Methods: Sample size was 150 a predesigned close ended questionnaire was used to collect data, out of which 8 incomplete questionnaires were excluded. SPSS version 21 was used to analyze the data. Results: Overall, 130 respondents were aware of the term organ donation out of which 74 wish to donate their organs. The main barriers related to organ donation during life and after death include mainly religious beliefs, fear of surgical procedures, misconception that they cannot donate because of some medical illness, having a cultural belief that the body should be kept intact after death or having a fear that their body will be disfigured after donating an organ. 90.8% respondents believe that there is a need to promote organ donation. Greater load of information come from social media. Conclusion: It can be concluded that there is a need to promote organ donation. Identified barriers should be taken in the account while motivating the population to donate in future. Key words: Organ donation, Attitude, Barriers


2020 ◽  
Vol 18 (2) ◽  
pp. 48-52
Author(s):  
M.V. Shrestha ◽  
N. Manandhar ◽  
S.C. Sharma ◽  
S.K. Joshi

Background The frequent lockdown in Nepal during COVID-19 pandemic had brought various kinds of complexities such as stress among college students. This situation had created uncertainty of future academic career of undergraduate students in medical colleges. Some previously published literature showed gaming as a coping mechanism against stress. Objective To assess the gaming behavior of Medical college students during lockdown in COVID 19 pandemic. Method A cross-sectional study was conducted during lockdown period of July to August 2020. A total of 412 college students were enrolled. Online Google forms were shared to all the eligible students through email, viber and messenger with the help of class representative. Collected data were analyzed in SPSS version 20.0. Result The prevalence of gaming disorder was 8.5% among 260 internet gaming users. About 69.2% of the participants reported that their gaming behavior had increased due to stress of COVID-19 pandemic. Gender and spending more time online per day showed significant associations with greater scores on the internet gaming disorder. Conclusion During lockdown period of COVID-19 pandemic, the gaming behavior of medical college students has increased.


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