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https://www.readbyqxmd.com/read/29456389/assessment-of-quality-of-prescription-writing-among-dental-and-medical-students-and-practitioners-in-kerala
#1
Naveen Jacob Varghese, Venkitachalam Ramanarayanan, Chandrashekar Janakiram, Joe Joseph
Background: The medical prescription is a valid and legal document. Prescriptions can also be used as a measure of the quality of medical education, observance of the laws and regulations, and sociocultural beliefs. Aims: To assess the quality of prescription written by dental and medical students and practitioners. Settings and Design: A cross-sectional study was conducted in three dental and two medical colleges in Kerala covering 345 participants (dental - 235 and medical - 110)...
January 2018: Journal of Natural Science, Biology, and Medicine
https://www.readbyqxmd.com/read/29450524/effect-of-a-quality-improvement-intervention-on-clinical-outcomes-in-patients-in-india-with-acute-myocardial-infarction-the-acs-quik-randomized-clinical-trial
#2
Mark D Huffman, Padinhare P Mohanan, Raji Devarajan, Abigail S Baldridge, Dimple Kondal, Lihui Zhao, Mumtaj Ali, Mangalath N Krishnan, Syam Natesan, Rajesh Gopinath, Sunitha Viswanathan, Joseph Stigi, Johny Joseph, Somanathan Chozhakkat, Donald M Lloyd-Jones, Dorairaj Prabhakaran
Importance: Wide heterogeneity exists in acute myocardial infarction treatment and outcomes in India. Objective: To evaluate the effect of a locally adapted quality improvement tool kit on clinical outcomes and process measures in Kerala, a southern Indian state. Design, Setting, and Participants: Cluster randomized, stepped-wedge clinical trial conducted between November 10, 2014, and November 9, 2016, in 63 hospitals in Kerala, India, with a last date of follow-up of December 31, 2016...
February 13, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29444688/twenty-years-of-home-based-palliative-care-in-malappuram-kerala-india-a-descriptive-study-of-patients-and-their-care-givers
#3
Rekha Rachel Philip, Sairu Philip, Jaya Prasad Tripathy, Abdulla Manima, Emilie Venables
BACKGROUND: The well lauded community-based palliative care programme of Kerala, India provides medical and social support, through home-based care, for patients with terminal illness and diseases requiring long-term support. There is, however, limited information on patient characteristics, caregivers and programme performance. This study was carried out to describe: i) the patients enrolled in the programme from 1996 to 2016 and their diagnosis, and ii) the care-giver characteristics and palliative care support from nurses and doctors in a cohort of patients registered during 2013-2015...
February 14, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29440936/contraceptive-use-and-preferences-of-young-married-women-in-kerala-india
#4
Jissa Vinoda Thulaseedharan
Background: As in other states of India, female sterilization is the most widely used contraceptive method in Kerala where women have higher levels of education compared to most other states in India. This paper describes the use and preferences of contraceptive methods among young married women in Trivandrum district, Kerala, India. Subjects and methods: A community-based cross-sectional survey was carried out among 203 young married women (18-28 years) during January-March 2015 using multistage cluster sampling method...
2018: Open Access Journal of Contraception
https://www.readbyqxmd.com/read/29434068/molecular-characterization-of-human-dirofilaria-isolates-from-kerala
#5
Najuma Nazar, Bindu Lakshmanan, K K Jayavardhanan
Background & objectives: Human dirofilariosis is a well-recognized zoonosis caused by several species of the genus Dirofilaria. The disease is prevalent among canines and human beings in Kerala. The objective of the present study was to confirm the human Dirofilaria isolates by molecular characterization. Methods: The worms or segments obtained from human sources were subjected to diagnostic polymerase chain reaction (PCR) targeting the cytochrome oxidase subunit 1 (COI) and 5S ribosomal RNA (rRNA) genes of Dirofilaria repens...
October 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29429975/teratogenicity-of-antiepileptic-dual-therapy-dose-dependent-drug-specific-or-both
#6
Ravish R Keni, Manna Jose, Prabhakaran Sankara Sarma, Sanjeev V Thomas
OBJECTIVE: To determine the relative risk (RR) of major congenital malformations (MCMs) in infants with antenatal exposure to antiepileptic drug (AED) dual therapy and to explore the influence of specific AEDs vs dose. METHODS: All completed pregnancies prospectively enrolled in the Kerala Registry of Epilepsy and Pregnancy from 1998 until December 2013 on AED dual therapy exposure during the first trimester were analyzed for the outcome, MCMs. Dose was expressed as ratio of prescribed to daily defined dose (PDD/DDD), and the RR for malformation was referenced to lamotrigine monotherapy...
February 2, 2018: Neurology
https://www.readbyqxmd.com/read/29417023/diagnostic-delay-and-associated-factors-among-patients-with-pulmonary-tuberculosis-in-kerala
#7
Selvam Paramasivam, Bina Thomas, Priya Chandran, Jayakrishnan Thayyil, Biju George, C P Sivakumar
Introduction: Delay in the diagnosis of tuberculosis (TB) can lead to an increased infectivity period, delayed treatment, and increased severity of the disease. The objective of this study was to estimate the diagnostic delay and factors associated with the delay in diagnosis among the newly diagnosed smear-positive pulmonary TB patients in Kerala, India. Materials and Methods: A cross-sectional study was conducted among TB patients who were in the intensive phase of directly observed treatment short-course treatment in four randomly selected TB units in a district in Kerala during the years 2012-2013...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29416064/mud-banks-along-the-southwest-coast-of-india-are-not-too-muddy-for-plankton
#8
R Jyothibabu, K K Balachandran, L Jagadeesan, C Karnan, N Arunpandi, S W A Naqvi, R S Pandiyarajan
Considering Alappuzha Mud Bank in the southern Kerala coast as a typical case of biologically productive Mud Banks that form along the southwest coast of India during the Southwest Monsoon (June - September), the present study addresses several pertinent missing links between the physical environment in Mud Banks and their influence on plankton stock. This study showed that very strong coastal upwelling prevails in the entire study domain during the Southwest Monsoon, which manifests itself in the form of significantly cool, hypoxic and nitrate-rich waters surfacing near the coast...
February 7, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29398860/dental-health-awareness-attitude-and-dental-health-care-seeking-practices-as-risk-indicators-for-the-prevalence-of-periodontal-disease-among-15-17-year-old-school-children-in-kozhikode-district-kerala-india
#9
Uma Mohan Das, Rosamma Joseph Vadakkekuttical, Harikumar Kanakkath, Smitha Pathiyari Shankunni
Background: Periodontal disease prevalence in children is an indicator of future disease burden in the adult population. Knowledge about the prevalence and risk status of periodontal disease in children can prove instrumental in the initiation of appropriate preventive and therapeutic measures. Aim: This school-based cross-sectional survey estimated the prevalence and severity of periodontal disease among 15-17-year-old children in Kozhikode district and assessed the risk factors...
March 2017: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/29383603/goltz-gorlin-syndrome-revisiting-the-clinical-spectrum
#10
Dhanya Yesodharan, Uta Meyer Zum Büschenfelde, Kerstin Kutsche, K Mohandas Nair, Sheela Nampoothiri
OBJECTIVE: To describe the varying phenotypic spectrum of Focal Dermal Hypoplasia (FDH) and to emphasize the need for identifying the condition in mildly affected females which is crucial for offering a prenatal diagnosis in subsequent pregnancy owing to the risk of having a severely affected baby. METHODS: The phenotype-genotype correlation of 4 patients with FDH, over a period of 11 y from the genetic clinic in a tertiary care centre from Kerala, India was done...
January 31, 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29371772/dietary-fats-and-oxidative-stress-a-cross-sectional-study-among-coronary-artery-disease-subjects-consuming-coconut-oil-sunflower-oil
#11
Sabitha Palazhy, Prakash Kamath, D M Vasudevan
Coconut oil has been used by the people of Kerala as a cooking medium for several decades. Due to its alleged hypercholesterolemic activity, general population in recent times is shifting to cooking oils rich in polyunsaturated fats, the most popular being sunflower oil. The effect of long-term consumption of sunflower oil on oxidative stress in humans is not well investigated. We studied oxidative stress among coronary artery disease (CAD) patients who were consuming coconut oil or sunflower oil as a part of their routine diet...
January 2018: Indian Journal of Clinical Biochemistry: IJCB
https://www.readbyqxmd.com/read/29368189/multi-center-prospective-survey-of-inflammatory-bowel-diseases-in-kerala-more-than-2000-cases
#12
Mathew Philip, Philip Augustine, Varghese Thomas, G N Ramesh, K R Vinayakumar, T M Ramachandran, Ismail Siyad, Roy J Mukkada, R Sobhana Devi, Antony P Chettupuzha, Varghese A Jaison, M Ramesh, P Mahadevan, Abraham Koshy
BACKGROUND: Inflammatory bowel disease (IBD) is considered uncommon in Asia. The aim of this study was to document the demographic characteristics and clinical aspects of ulcerative colitis (UC) and Crohn's disease (CD) in Kerala, India. METHODS: A survey of IBD in Kerala was performed. All gastroenterologists in the region were invited. From May 2013 to October 2015, data were collected in a standardized pro-forma. RESULTS: Forty-seven doctors in 34 centers contributed data...
January 24, 2018: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/29367842/direct-and-indirect-influences-of-intercrops-on-the-coconut-defoliator-opisina-arenosella
#13
K S Shameer, M Nasser, Chandrika Mohan, Ian C W Hardy
Coconut palm (Cocos nucifera) infestation by Opisina arenosella (Lepidoptera: Oecophoridae) in the Indian subcontinent may occur in November to May each year in the same or adjoining areas of plantations. Parasitoids of O. arenosella may also be consistently present at these times. During other periods, pests and/or parasitoids could be maintained on intercrops that are commonly grown throughout the year. Field surveys of 54 intercrop species in Kerala, India, found that O. arenosella attacks banana, but not others, while laboratory screening showed that O...
2018: Journal of Pest Science
https://www.readbyqxmd.com/read/29353148/light-and-electron-microscopic-observations-on-the-organization-of-skin-and-associated-glands-of-two-caecilian-amphibians-from-western-ghats-of-india
#14
Arun Damodaran, Beyo Reston Saroja, Ramachandran Kotharambath, Akbarsha Mohammad Abdulkader, Oommen V Oommen, Divya Lekha
We adopted light and electron microscopy to understand the structure of the skin of two species of caecilians, Ichthyophis tricolor and Uraeotyphlus cf. oxyurus, from Western Ghats of Kerala, India. The surface of the skin of these caecilians contains an irregular pattern of microridges. Oval, round and polymorphic glandular openings are randomly distributed all over the skin surface. Most of the openings are funnel shaped. The epithelial cells along the rim of the opening descend into the tunnel of the duct...
January 9, 2018: Micron: the International Research and Review Journal for Microscopy
https://www.readbyqxmd.com/read/29347031/fractality-in-nonequilibrium-steady-states-of-quasiperiodic-systems
#15
Vipin Kerala Varma, Clélia de Mulatier, Marko Žnidarič
We investigate the nonequilibrium response of quasiperiodic systems to boundary driving. In particular, we focus on the Aubry-André-Harper model at its metal-insulator transition and the diagonal Fibonacci model. We find that opening the system at the boundaries provides a viable experimental technique to probe its underlying fractality, which is reflected in the fractal spatial dependence of simple observables (such as magnetization) in the nonequilibrium steady state. We also find that the dynamics in the nonequilibrium steady state depends on the length of the chain chosen: generic length chains harbour qualitatively slower transport (different scaling exponent) than Fibonacci length chains, which is in turn slower than in the closed system...
September 2017: Physical Review. E
https://www.readbyqxmd.com/read/29346068/prevalence-of-hypertension-and-prehypertension-among-a-coastal-population-in-south-india-baseline-findings-from-a-population-based-health-registry-project-in-kerala
#16
T N Anand, M Shaffi, M Pillai A, A Lathika Rajendrakumar, L S Sreemathy, K Rajasekharan Nayar, J Lordson, M Abraham, P Rajeev, A Marthanda Pillai, A Kumar, C Grace A, J Jacob
No abstract text is available yet for this article.
January 12, 2018: Public Health
https://www.readbyqxmd.com/read/29332683/insomnia-in-primary-care-a-study-from-india
#17
T S Jaisoorya, Ajit Bhalchandra Dahale, Kumar G Sunil, L Manoj, G R Gokul, K Thennarassu
OBJECTIVES: To study the prevalence and clinical correlates of insomnia among a sample of primary care attendees, in the state of Kerala, India. DESIGN: Cross-sectional survey. SETTING: Primary care. PARTICIPANTS: 7017 adult patients [18-60 years] attending 71 primary health centers selected by cluster random sampling. MEASUREMENTS: Patients were assessed for insomnia using the Insomnia Severity Index...
February 2018: Sleep Health
https://www.readbyqxmd.com/read/29332648/prevalence-of-chronic-respiratory-diseases-from-a-rural-area-in-kerala-southern-india
#18
Krishnaveni Viswanathan, P S Rakesh, Shibu Balakrishnan, A Shanavas, Varun Dharman
BACKGROUND: Chronic lung diseases are one of the leading causes of morbidity in developing countries. A community based survey was undertaken with an objective to estimate the prevalence of chronic respiratory diseases and to describe the profile of people with CRDs in the rural area Nilamel health block in Kollam district, Kerala, southern India. METHODS: A household information sheet and a translated respiratory symptom questionnaire based on International Union against Tuberculosis and Lung Disease (IUATLD) bronchial symptoms questionnaire was administered to 12,556 people above 15 years, selected randomly from Nilamel health block...
January 2018: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/29306218/toddlers-at-risk-for-autism-spectrum-disorders-from-kerala-india-a-community-based-screening
#19
Jaisoorya Ts, Preeti Jacob, Shoba Srinath, Sunil Kumar G, Manoj L, Gokul Gr, Diana L Robins, Thennarasu K
AIMS: To study the at-risk rate for Autism Spectrum Disorders (ASD) on a parent-report questionnaire in toddlers between the ages of 16-24 months. MATERIALS AND METHODS: 6237 toddlers from Kerala, India selected by cluster random sampling were surveyed by community nurses using the Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) translated to Malayalam and culturally adapted. RESULTS: 5.5% toddlers were at risk on M-CHAT-R and 2...
December 28, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29306028/unique-mtb-protein-found-in-urine-of-tb-patients-discovery-of-a-unique-mycobacterium-tuberculosis-protein-through-proteomic-analysis-of-urine-from-patients-with-active-tuberculosis
#20
Nira Pollock, Rakesh Dhiman, Nada Daifalla, Maha Farhat, Antonio Campos-Neto
Identification of pathogen-specific biomarkers present in patients' serum or urine samples can be a useful diagnostic approach. In efforts to discover Mycobacterium tuberculosis (Mtb) biomarkers we identified by mass spectroscopy a unique 21-mer Mtb peptide sequence (VVLGLTVPGGVELLPGVALPR) present in the urines of TB patients from Zimbabwe. This peptide has 100% sequence homology with the protein TBCG_03312 from the C strain of Mtb (a clinical isolate identified in New York, NY, USA) and 95% sequence homology with Mtb oxidoreductase (MRGA423_21210) from the clinical isolate MTB423 (identified in Kerala, India)...
January 3, 2018: Microbes and Infection
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