Yeteri kadar kontrol edilmeyen diyabet bilişsel işlevlere zarar verebilir, fakat çözülmeli belirtilerle ilgili herhangi bir rapor bulunmamaktadır. Biz bu raporda, ikinci tip diyabeti olan yaşlı bir hastadaki hiperglisemi bağlantılı tekrar eden bir disosiyatif füg vakası sunacağız. Muhtemel nörobiyolojik mekanizmaların üzerinde de durulacaktır.
Introduction: Antimicrobial resistance (AMR) is a recognised public health threat today globally. Though many active and passive stewardship strategies are employed to counter AMR clinically, educating school going children on AMR could be a futuristic cost-effective measure to minimize AMR development. We hypothesised NICE’s e-bug module to class VII school students on AMR determinants. Methodology: A prospective non-randomized intervention study on 327 students belonging to 9 schools of class VII around Manipal town, Udupi district, Karnataka state, India were included for the study. 10 questions on AMR determinants extracted from NICE’s e-bug program were quizzed in written as pre-test followed by an education intervention on the same questions followed by a post-test to end the session. Descriptive statistics to estimate epidemiological characteristics, Wilcoxon Signed Ranks and Kruskal-Wallis tests were applied to analyse statistical significance of pre/post-test performance scores for the 10 questions and between schools respectively Results: Students had inadequate knowledge on 7 AMR determinants (antimicrobial indication, its course, hand hygiene, fermentation, spread of infection, microbial multiplication and characteristics of microbe) when analysed for post-test performance (p<0.05). Comparison of post-test performance of 9 participating schools revealed statistical significance (p<0.05) for 3 questions (definition on antimicrobial, cover while cough/sneezing and microbial characteristics) Conclusion: Although students exhibited sub-optimal knowledge on few AMR determinants, they showed keenness to learn exhibited by their performance. Our findings and previous similar studies from Europe are suggestive of early pedagogic interventions on AMR through inclusion of such education modules in the curriculum could be potential tool for AMR prevention for future generations.
BACKGROUND Persons suffering from medical illness suffer from a great deal of stress due to various factors such as the distress caused by the symptoms, restriction of movement and functioning, financial costs of treatment, worries about the prognosis and the future, and frequent hospitalizations with a loss of a sense of security and individuality leading to impaired QoL. This study aimed to examine the levels of, and the relationship between, perceived stress levels, and quality of life in patients hospitalized with medical illnesses. The study also attempted to understand the association of perceived stress, quality of life, various sociodemographic and clinical variables. METHODS This is a cross-sectional study conducted among 200 consenting patients in the age group 18-80 years, admitted in the General Medicine ward with various ailments. Sociodemographic profile and clinical profile were assessed using appropriate tools. Stress was measured using PSS and the QoL was assessed using the WHOQOL-BREF. Data collected was tabulated and statistical analysis was carried out using SPSS-21. RESULTS The mean age of the participants in the study was 45 years. Majority of the participants in the study were male, married, employed, belonging to Hindu nuclear family of lower middle and lower socioeconomic status and hailing from rural areas. Mean total Perceived Stress Scale (PSS-10) score was found to be 16.34 (S.D.= 5.89), with more than two-thirds of the patients reporting moderate to high levels of perceived stress. High levels of QoL was noted in 58.5-87% of the participants in the four domains of WHOQOL-BREF, with less than 10% of the participants reporting low quality of life in each of the domains. Lower socioeconomic status was found to be associated with higher perceived stress (t=2.670, p<0.01) and lower QoL. Lower age, fewer hospitalizations in the past year, and employment status was associated with better physical health quality of life. Perceived stress score was negatively correlated with all domains of quality of life (p<0.001). CONCLUSIONS Medical illness and hospitalization are associated with increased perceived stress levels. Perceived stress is significantly associated with a lower quality of life in all domains. This study emphasises the need for better integration of medical and psychiatric services to improve the overall health of the patient and further research in the field to understand the association between stress and quality of life better.
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