Abdul Ahad

Open Access Article by Ravi Prakash Babu Kocharla Ravi Prakash Babu Kocharla Scilit Preprints.org

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DHAKA, Sept 10, 2024 (BSS) - Central coordinator of Anti-Discrimination Student Movement Hasanat Abdullah today urged all to work unitedly for reformation of the state.

Objective: To determine the frequency of deliberate self-harm (DSH), risk factors leading to DSH, and the methods adopted by medical students and young doctors to execute DSH.Method: A cross-sectional study was conducted on medical college students and young doctors aged 18-26 years. After approval by the parent institute’s ethical board, different medical students and doctors from Pakistani medical colleges of both male and female populations were recruited through non-probability sampling. Responses were collected from one to two medical colleges from each province.Results: A high number of 490 (60.9%) out of 805 participants reported a history of at least one form of self-harm. Forty-four participants (0.05%) reported having attempted suicide in the past. The mean scores for the self-harm inventory scale were 2.51±3.25, the self-esteem scale 26.51±4.43, and the social support scale 23.1±6.96. Smoking, recreational drug use, History of mental illness, and family history of mental illness were significantly associated with increased odds of self-harm in medical students. On adjusted binary logistic regression, female gender, harmonious relationship with parents, satisfaction with the result, social support, and higher self-esteem were protective against deliberate self-harm.Conclusion: DSH is a critical issue among medical students and is becoming prevalent. Higher odds of DSH are associated with smoking and recreational drug use. Higher self-esteem and better social support are protective against DSH.

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Bindings in SwiftUI allow you to establish a two-way connection between a view and its data source. This ensures that any changes made to…

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Introduction: Tight glycemic control is essential for optimal outcomes after coronary artery bypass graft (CABG) surgery, regardless of pre-operative diabetes status. The ideal timing for transitioning from intravenous (IV) to subcutaneous (SC) insulin remains unclear. This study addresses this knowledge gap by comparing the effects of early transition (postoperative day 1, POD1) versus delayed transition on glycemic control and patient outcomes after CABG surgery. Methods: We analyzed data from a single tertiary medical center focusing on patients receiving insulin during their CABG hospitalization between 1 and 31 October 2022. We divided patients into two groups based on their transition timing: (1) Delayed Transition Group, patients transitioned from IV insulin infusion to SC insulin after POD1; and (2) Early Transition Group, patients transitioned on POD1. The primary outcome was the incidence of euglycemia on POD1. Secondary outcomes included rates of maintaining euglycemia from POD1 until POD10 or hospital discharge, hospital length of stay (LOS), ICU LOS, mean glucose levels, rates of hyperglycemia (blood glucose > 180 mg/dL) and hypoglycemia (blood glucose < 70 mg/dL), and rate of restarting IV insulin. Statistical analysis adjusted for BMI and diabetes diagnosis. Results: A total of 394 patients were enrolled, with 68 patients (17.3%) in the delayed-transition group and 326 patients (82.7%) in the early-transition group. Majority of the patients were males (74%), with an average age of 67 ± 9 years. Mean HbA1C and creatinine levels were comparable between the two groups. Patients in the early-transition group experienced a shorter ICU and hospital length of stay compared to the delayed-transition group, without a higher risk of restarting IV insulin. Conclusions: Early transition from IV insulin drip to SC insulin on POD1 of CABG surgery reduces ICU and hospital LOS without increasing the risk of transitioning back to IV insulin.

Articles Pharmacognosy Research, December 2022 Original Article

Background: Celiac disease is a chronic autoimmune condition requiring lifelong adherence to a gluten-free diet, particularly in children, to prevent nutritional deficiencies and developmental delays.Objective: The objective of study was to evaluate the effects of early nutritional intervention on the management and health outcomes of children diagnosed with celiac disease.Methodology: A prospective, longitudinal cohort study was conducted over two years (July 2019-July 2021). A customized gluten-free meal plan and any necessary dietary supplements were given to the participants. Baseline evaluations and six-monthly follow-ups were used to gather data on growth, nutritional status, and dietary compliance. SPSS was used for the statistical analysis, and a significance threshold of p<0.05 was established.Results: Significant improvements were observed in growth metrics, with mean height increasing from 145.67 cm to 157.48 cm and weight from 36.29 kg to 46.24 kg over 24 months (p < 0.001). Nutritional status also improved, with serum iron levels rising from 45.19 µg/dL to 76.89 µg/dL and vitamin D from 20.14 ng/mL to 44.22 ng/mL (p < 0.001). Dietary adherence increased from 84.37% to 94.62%.Conclusion: Growth and nutritional results in children with celiac disease are greatly improved with nutritional intervention.