Browsing by Author "S, K"
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Item Assessment of stress and coping mechanisms in the 1st year MBBS students from English and Vernacular medium – An experience from a new All India Institute of Medical Sciences(Mrs Dipika Charan of MedScience (India) Publications, 2023-01) Sinha, A; P, N; S, K; Loganathan, S; Mahanta, A; Bhattacharjee, M.Background: The stress levels among the 1st year MBBS students are high due to multiple factors. In this setting, an objective assessment of stress and coping strategies among medical students may provide a foundation to adopting specific measures to help them. Aims and Objectives: The specific objectives of the study were to compare stress levels and coping strategies among medical students from different backgrounds and mediums of instructions and to ategorize the stress level of students depending on Class X, XII marks, number of attempts, and annual family income. Materials and Methods: Forty-eight 1st year MBBS students were recruited for the study. Participants were divided into two groups, that is, Group 1 – English medium schools and Group 2 – Hindi medium schools and informed consent was taken. In a preferable time slot, the participants were given two questionnaires (Zung’s SDS and Way of Coping Revised scale) and a table of personal information to fill. Results: There were significantly higher stress scores among English medium students as compared to vernacular medium. There was no correlation between Class 10th and 12th marks with the stress. Proportion of students having high stress had AFI <1 lakh and proportion having low stress had AFI more than 5 lakh. Students having more than 3 attempts in medical qualifying examination had the least stress scores. Conclusion: Stress among medical students was found to more in students from English medium schools due to the urban background of these students. High family income acts a psychological security for the students, hence the low stress among them. Students with more than 3 attempts in qualifying examination were more mature, hence the low stress score among them.Item Clinico-epidemiological profile and treatment outcome of drug-resistant tuberculosis patients admitted to drug-resistant-tuberculosis center in a tertiary care hospital in Varanasi(International Journal of Medical Science and Public Health, 2019-05) K, MN; S, K; K, MJ; N, SG; B, R; M, S; A, S; Latheef, NA; A, M; K, RBBackground: Tuberculosis (TB) is one of the top ten causes of mortality and the leading cause of a single infectious agent. Unfortunately, India is home to approximately one-fourth of drug-resistant (DR)-TB cases globally. Despite all the developments in TB, the disease is becoming an important threat to public health. Objective: The present analysis was done to describe the profile and assess and compare the outcome of DR-TB patient admitted in DR-TB ward, Sir Sunderlal Hospital (SSH), Banaras Hindu University (BHU). Materials and Methods: Retrospective analysis of data from 2013 to 2018 of multi-DR (MDR)-TB patients admitted in DR-TB ward, SSH, Institute of Medical Sciences, BHU and treatment initiated after pre-treatment evaluation was conducted. Patients were referred from nearby nine districts of Uttar Pradesh. After pre-treatment evaluation treatment was initiated at DR-TB center, SSH as well as in their respective district. Results: A total of 3234 (76.7%) MDR-TB patients out of 4216 MDR-diagnosed patients were initiated on standard treatment which has increased from 74% in 2013. More than 93% of the cases were older than 15 years of age with slightly male predominance. The majority (>96%) of the cases were pulmonary TB. In the present analysis conversion of MDR-TB to extensively DR-TB (XDR-TB) was 7.7%. The treatment success rate for XDR-TB had also significantly improved from 11% in 2015 to 34% in 2017. Conclusion: Analysis shows 7.7% MDR patients converted into XDR; hence, there is a strong need to explore factors responsible for conversion. 7% of patients were <15 years of age indicating the need for separate pediatric DR-TB ward. 18% of DR-TB patients were defaulters; hence, the reason for it should be sought and addressed. Treatment success rate for MDR-TB has been seen improved from 40% in 2013 to 48% in 2017.Item Equalizing The Third Gender Health a Lived Experience Phenomenological Study - A Qualitative Approach(Medsci Publications, 2023-06) Poonguzhali, S; S, K; Arun, Murugan.Background: The transgender population is a marginalized social group often targeted for mistreatment and discrimination. This study specifically examined the experiences of transgender people across a range of cate-gories such as: education, employment outcomes, health awareness and mental health status. The study aimed to gain an understanding about the respondents’ unique experiences of discrimination being transgender and health awareness. Materials and Methods: The research applied descriptive qualitative phenomenology design. The study was conducted at Department of Community Medicine, Government Omandurar Medical College and Hospital, Chennai on Trans genders using in-depth interview with an open-ended question semi structured Question-naire after obtaining the informed consent among 4 Transgenders till the data saturation happens. The Tran-scriptions Data were then analyzed using the Colaizzi method. Results: Marginalized socially and economically, Family and peer rejections, Lack of Job opportunities, Con-tinuous rejection and omission leads to Begging and Active Night life (Survival Sex). Health Care Professionals has less knowledge about the transgender health, sex affirmation surgery is still least preferred among doc-tors. NGOs roles are very significant in their quality of life, Periodic medical examination including HIV. Conclusion: Transgender’s and the word are to be transformed as Third Gender. The Social acceptance from the public will do wonders in their life.