International Medical Journal

Journal ID : IMJ-02-09-2021-914

Total View : 350

Title : Towards Continuous Quality improvement in an Accredited Hospital

Abstract : An accreditation body is a statutory organization that is usually established by an act of parliament. An accreditation body promotes development and maintenance of standard practices in patient care. Benefits of Accreditation-Patients are the biggest beneficiary among all the stakeholders, Accreditation results in high quality of care and patient safety, the patients are serviced by credentialed medical staff, Rights of patients are respected and protected. Patient’s satisfaction is regularly evaluated. Data was collected from three ICUs of the hospital. Each ICU was 10 bedded, and data was collected in three phases. In the first phase, the quality team was interviewed; in the second phase, a surprise check was done on staff of the ICU with the help of checklist, which included NABH standards; and in the third phase, the data related to quality indicators was collected for 1 year Nine indicators, applicable to the ICU were analysed 1. Needle stick injury (NSI) 2. Central line-associated blood stream infection. 3. Incidence of pressure sores. 4. Catheter-associated urinary tract infection (CAUTI) 5. Ventilator-associated pneumonia (VAP) 6. Surgical site infection (SSI) 7. Fall rate. 8. Reintubation rate within 48 hours of extubation and 9. Return to ICU within 24 hours of discharge. A functional CQI process should be focused directly on accreditation standards to result in the improvement of educational quality and outcomes, be feasible to implement, avoid duplication of effort and have both commitment and resource support from the sponsoring entity and the individual medical schools..
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International Medical Journal

Journal ID : IMJ-02-09-2021-912

Total View : 384

Title : Understanding Mucormycosis amidst COVID-19 Pandemic – A Review

Abstract : SARS CoV 2 infection can manifest as a mild form to life threatening pneumonia. It is also associated with wide range of secondary bacterial and fungal infections. Many cases of COVID 19 associated mucormycosis have been reported worldwide. Mucormycosis is an uncommon but a fatal angio-invasive fungal infection that usually affects patients with altered immunity. It mainly affects people who are immunocompromised, or patients already infected with other diseases. A thorough literature search was carried out across PubMed (n=35), Scopus (n=40), and Google Scholar (n=50) database using the keywords COVID 19, fungal infections, mucormycosis, diabetes mellitus, corticosteroids, ventilator, immunosuppression. The articles published till July 21, 2021, were analysed. 94% of patients with COVID-19-associated mucormycosis have a history of poorly controlled diabetes. The use of glucocorticoids for the management of COVID-19 was observed in 85% of the cases. 8% of the reported patients were suffering from haematological malignancies; 4% were on immunosuppressive therapy. Males were more affected than the females. Rhino-orbito cerebral involvement is observed in most of the cases (91%), followed by rhino-orbital involvement (14%), pulmonary (7%). The least reported are cutaneous (1%) and GIT (1%) involvement. Prevention of COVID-associated mucormycosis needs to focus on addressing the underlying risk factors: aiming for better glycemic control in those with diabetes, appropriate use of systemic corticosteroids and prevention of unnecessary use of antibiotic, antifungal and other immunomodulators..
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International Medical Journal

Journal ID : IMJ-01-09-2021-911

Total View : 368

Title : Semantic clustering impairment in hypothyroidism

Abstract : Hypothyroidism affects cognition in a multitude of ways; however, verbal memory is a consistently affected domain. Verbal memory, which is a memory for verbally presented material, may be enhanced using semantic clustering. Imaging studies have shown that the hypothyroid brain has many functional and structural abnormalities in areas that are important for semantic clustering. The current study aimed at analyzing the semantic clustering among overt and subclinical hypothyroid subjects.46 hypothyroid subjects were contacted who were attending the outpatient ward of the Department of Endocrinology and Metabolism, Sir Sundarlal Hospital, Institute of Medical Sciences, Banaras Hindu University. 26 patients were overt hypothyroid, 20 were subclinical hypothyroid, and 20 healthy control patients were also recruited and were matched on age, education and gender. Both multivariate and univariate analyses of variance revealed a significant effect of hypothyroidism, and the hypothyroid group performed significantly inferior in comparison to the healthy controls on semantic clustering measures. It is clear from the current study's findings that hypothyroidism, whether overt or subclinical, can affect semantic clustering among young hypothyroid patients while learning new material..
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International Medical Journal

Journal ID : IMJ-30-08-2021-907

Total View : 381

Title : Histiocytes in Diabetes Mellitus - Case Report and Review of literature focusing on possible histiocytic lesions of diabetes mellitus

Abstract : Macrophages in diabetes mellitus exhibit certain altered inflammatory and immune functions that include reduced phagocytic capability towards micro-organisms. This could lead to accumulation of excessive dysfunctional macrophages at the diabetic cutaneous wound and also predispose to many macrophage associated lesions such as necrobiosis lipoidica, xanthogranuloma, malakoplakia and rosai-dorfman disease, some of them have a progressive clinical course and could mimic malignancy. Hence, it is important to diagnose them at an earlIer stage to administer proper treatment. In this article, we have discussed macrophage dysfunctions that occur in diabetes mellitus, presented a case of diabetic abscess that exhibited florid histiocytic reaction and described histiocytic lesions that are associated with diabetes mellitus..
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International Medical Journal

Journal ID : IMJ-29-08-2021-906

Total View : 449

Title : Effect of the growth times, the extracting temperature and time, and Na2CO3 concentration on alginate viscosity and Mv of brown algae Sargassum polycystum grown in Southern Center, Vietnam

Abstract : Alginates are sulfated polysaccharides that existed in brown algae, possess various bioactivities and apply diversity in the fields of food, functional food, pharmaceuticals, and industry basing on their physico- chemistry characteristics. The paper focused on the impact of the growth times (January to June), the extracting temperature (70, 80, and 90oC) and time (1 to 9 hours), and Na2CO3 content (0.05 to 0.5%, compared to alginate content) on the viscosity and the average molecular weight of alginate which extracted from brown algae Sargassum polycystum grown in Southern Center, Vietnam. The results showed that the viscosity and the average molecular weight of alginate were affected by the extracting temperature and time, and Na2CO3 content (p<0.05) and changed according to the trend of the linear model. The effect of the extracting temperature on the viscosity and the average molecular weight of alginate was higher than the extracting time and Na2CO3 content. The difference in the viscosity and the average molecular weight of alginate occurred when the Na2CO3 content- to-sodium alginate ratio was larger and equal to 0.3/1 (w/w). Alginate content (33.8 mg sodium alginate/ g DW) of brown algae Sargassum polycystum was highest in May. The current study supports for the processing control of alginate preparation applicating into other fields such as food, functional food, pharmaceuticals and industry..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 06 )
20 Jun 2023

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Publish On ( Vol 30 , Issue 05 )
31 May 2023