Nitin Joseph's research while affiliated with Manipal Academy of Higher Education and other places
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Publications (69)
Introduction: Intervertebral disc disorders (IDDs) are being commonly observed nowadays among the young and middle aged population. Objectives: This hospital record based study was done to study the risk factors, clinical presentation, imaging findings and management practices among patients with all types of IDDs. Methods: A validated proforma was...
The primary aim of this study addresses a key question relating to the identification of the determinants of behavioral problems among primary school children. The secondary aim was to suggest remedial measures among teachers on how to deal with behavioral problems among students. An assessment of students studying from Class 2 to 5 was taken by th...
Objectives. To study the risk factors, clinical presentations, course of the disease, investigations and management practices in MS.
Materials and methods. Records of 23 patients diagnosed with MS using the McDonald diagnostic criteria were analysed.
Outcomes. The mean age at diagnosis was 34.6±17.1 years. 17 (73.9%) patients were females. Early an...
Background
Reproductive health education (RHE) is an important component of school curricula. It helps students in the decision-making process regarding several issues concerning reproductive health. However delivering RHE at schools is a difficult task for the teachers.
Methods
This study was conducted to assess the experiences and perceptions to...
Introduction
Perinatally HIV infected neonates are surviving into adulthood with an impact on mental and emotional health. Attention deficit hyperactive disorder (ADHD) and Oppositional Defiant disorder (ODD) are few of the common behavioral disorders, which have been found to have a higher prevalence amongst HIV infected children.
Objectives
The...
Background: Reproductive health education (RHE) is an important component of school curricula. It helps students in the decision-making process regarding several issues concerning reproductive health. However delivering RHE at schools is a difficult task for the teachers.
Methods: This study was conducted to assess the experiences and perceptions t...
Paediatric cancers are gradually on the rise in India. Its proportion among children aged < 15 years constitutes close to 5% of the total cancer affected population. A high proportion of this constitutes intra-abdominal tumours. This study was done to study the demographic profile, clinical features and management of intra-abdominal tumours among c...
Academic stress is the most common mental state that medical students experience during their training period. To assess academic stress, to find out its determinants, to assess other sources of stress and to explore the various coping styles against academic stress adopted by students. Methods: It was a cross sectional study done among medical stu...
Background
Perinatally infected neonates are surviving into adulthood with an impact on mental and emotional health. Attention deficit hyperactive disorder (ADHD) and Oppositional Defiant Disorder (ODD) are a few of the common disruptive behavioral disorders in childhood, which have been found to have a higher prevalence amongst HIV infected childr...
Introduction:
Physiological changes in pregnancy increase the vulnerability of antenatal women to develop obstructive sleep apnoea (OSA). It is a known cause of several adverse health outcomes in pregnancy.
Objectives:
To assess the risk status of OSA in pregnant women and to study its association with adverse maternal outcomes, fatigability, an...
Objectives. To find out the risk factors, clinical features, co-morbid conditions and management practices among AD patients.
Materials and methods. This study was conducted at three major tertiary care hospitals in Mangalore city of south India. Medical records of confirmed cases of AD over the recent 10 years were analyzed. A semi-structured prof...
Background: Psoriasis is an immune-mediated chronic skin disorder. Information regarding its clinic-epidemiological manifestations is limited in parts of Asia. This study was conducted to determine the risk factors, clinical presentation, and management of psoriasis among patients in Mangalore, India.
Methods: The medical records of 225 psoriasis...
Pets are known to play a supportive role in people's lives. However, their role in helping individuals to cope with stress and in enhancement of their social connectedness needs to be established. This case-control study was performed to compare the stress levels between pet owners and non–pet owners, to correlate the stress levels with the extent...
Introduction:
HIV related deaths still continue to occur in large numbers in spite of good quality drugs being freely available in India. This study was therefore done to assess the prognostic factors of mortality among people living with HIV (PLHIV) on antiretroviral therapy (ART). This would help in planning strategies for further improving thei...
Obstructive sleep apnea (OSA) is a significant problem resulting from the obstruction of the upper airway. It leads to cardiovascular disorders, cognitive impairment, epilepsy, fatigue, sleepiness, diabetes, and perioperative complications. It is important to identify and treat OSA before it leads to other comorbidities. Thus, reliable questionnair...
Introduction:
Safe drinking water is essential for human life. It is generally considered that bottled water is safe for usage by people. For long-distance travelers, it serves as the only source of reliable drinking water. But, several studies have reported that bottled water does not always meet the acceptability standards.
Objectives:
To asse...
Introduction: Clinical presentation of haemorrhoids is varied resembling number of anorectal diseases. Aim: To assess risk factors, clinical profile and management practices of haemorrhoid cases. Materials and Methods: This retrospective record based study was done at a government and private tertiary care hospital in Mangalore. Data from medical r...
To assess the impact of care at foster homes on the health-related quality of life (HRQOL) of children living with HIV (CLHIV), attending a referral ART Centre, and to compare their HRQOL with children living in their own homes. A cross-sectional study was conducted in 144 CLHIV between 5 and 18 years of age, attending a referral ART Centre in Sout...
Background: Thyroid disorders feature among the most frequent endocrine disorders in India. There is rarity of studies with respect to reproductive health problems faced by women with thyroid disorders. Objectives: This study was done to assess reproductive health problems among female students with thyroid disorders. Settings and Design: Cross sec...
This study was conducted to assess the pattern of use of nutritional supplements (NSs) and functional foods (FFs), reasons for their use, factors influencing their use, and perception toward their use among medical students. Data were collected from 400 randomly chosen participants using a self-administered semistructured questionnaire. The most co...
Background: Head and Neck Carcinoma (HNCs) are the most common form of cancer in India. Patients with head-and-neck carcinomas often suffer from various distressing symptoms. The exact cause of these symptoms, as to whether disease or treatment or other factor induced, needs to be established.
Objectives: This study was done to assess fatigability,...
Complications like impaired glucose tolerance and diabetes mellitus due to iron overload need early identification in thalassemia. We studied the proportion of insulin resistance in thalassemia major patients on chronic transfusion, identified insulin resistance using homeostasis model assessment of insulin resistance (HOMA-IR) and triglyceride glu...
Background: Medical students are vulnerable to various lifestyle disorders due to improper diet, physical activity and inadequate sleep. Aims: To assess the risk status of components of metabolic syndrome and cardiovascular diseases among medical students. Methods: Information was collected using a standard self-administered questionnaire. Blood pr...
Objective
To compare oxidative stress due to conventional and LED phototherapy among jaundiced preterm neonates. Methods
Cross-sectional study conducted in NICU on 82 neonates (equal numbers received conventional and LED phototherapy). Total antioxidant capacity (TAC), total oxidant status (TOS) and Oxidative stress index (OSI) were assessed. Resul...
Assessment of health-related quality of life (HRQoL) in children with HIV is crucial to improve the psychosocial well-being of this vulnerable population.
The objective of this study was to assess the HRQoL of children with HIV infection aged between 5 and 18 years. The study was conducted in 144 children with HIV attending an antiretroviral therap...
This sequential quantitative and qualitative study was done to assess the perception of faculties towards a hybrid Problem Based
Learning (PBL) methodology. To begin with, all faculty members of the department featured in a round of PBL facilitation. Later in phase
I, their perception was assessed using a validated self-administered questionnaire....
Introduction:
Polycystic ovarian syndrome (PCOS) constitutes most cases of endocrine disorder among females.
Objectives:
This study was done to assess the proportion of university students with PCOS and to study its risk factors.
Materials and methods:
Data were collected from students of a private medical, dental, and nursing college using a...
Introduction:
Non-communicable diseases (NCDs) are currently responsible for tremendous economic impact on households.
Aim:
This study was done to estimate the direct, indirect and total costs incurred by households of in-patients with non-communicable diseases admitted in a Private tertiary care hospital.
Materials and methods:
It was a cross...
Introduction: Plastic bag users are at risk of number of health
hazards. There is paucity of data with regard to awareness of
health hazards among general population in India.
Aim: This study was done to find out the status of awareness
of the health hazards associated with the usage of plastic bags
among people and their perception towards the leg...
Background:
Knowledge of community medicine is essential for health care professionals to function as efficient primary health care physicians. Medical students learning Community Medicine as a subject are expected to be competent in critical thinking and generic skills so as to analyze community health problems better. However, current teaching b...
Background: Varicose vein is a common surgical problems in India. This study was done to assess the clinico-epidemiological profile, risk factors and management practices in varicose veins.
Materials and methods: Medical records of 170 varicose vein cases admitted in tertiary care hospitals in Mangalore between May 2011 to April 2014 were reviewed...
Objectives:
This study was done to determine the risk factors, management practices and awareness about diarrhoea.
Methods:
It was a cross sectional study done in a semi urban and rural areas of South Canara district of India in February 2013. A total of 167 households (575 study population) chosen systematic randomly were visited and one adult...
Introduction:
Circumstances requiring medical attention are common at schools. Teachers are often the first individuals to witness and handle situations requiring first aid and medical emergencies.
Aim:
To determine awareness, attitudes and practices of school teachers and the facilities available at schools with respect to administration of fir...
Emotional intelligence (EI) is the ability to identify, assess, and control the emotions of oneself, of others, and of groups. Stress resulting from having to meet professional demands is common in the medical student's life. The perceived stress (PS) can be either an input or an outflow of EI or the lack thereof. This study was done to assess EI l...
Background
Uterine prolapse is a common problem among women in developing countries. It is known to cause physical and psychosocial problems affecting the quality of life of patients. This study was done to determine the risk factors, clinical features, and management practices in uterine prolapse (UP).
Methods
A review of 350 case records of UP ca...
Background
In India every year, a large number of pregnancies are unplanned resulting in unsafe abortion. This has tremendous implications both on health and survival of women. Usage of emergency contraceptive pills (ECPs) could be a solution provided the usage is as per guidelines and social issues do not cause objections.
Aim
This study was done...
This study was done to assess the determinants of morbidity pattern, quality of life (QoL) and awareness of elderly about various government schemes and social security legislations.
Data was collected by house to house survey among participants aged 60 years and above using a structured interview schedule. The QoL was assessed using Kannada versio...
Context: Fast foods are quite popular among children owing to
taste, appearance and hype created by mass media. However,
the increased incidence of lifestyle disorders seen now-a-days at
an early age could be attributed to fast foods.
Aim: This study was done to assess the awareness of health
hazards, consumption pattern of fast foods and to find o...
Objectives:
This community-based study was done to assess the awareness of people regarding the ill effects of consanguinity and to observe its association with various sociodemographic variables and complications among children.
Methods:
Houses were chosen by systematic random sampling method and any married person in each household was intervi...
Background and Aim: People with mental illness are often subjected to stigma and discrimination. The poor popularity of Psychiatry as a field of specialty has been a global concern. Any preconceived notions, perceptions and formative influences among medical students could have strong influence on their future choice of career. This study aimed to...
Introduction:
Menopausal symptoms experienced by women are known to affect their quality-of-life. The symptoms experienced at menopause are quite variable and their etiology is found to be multifactorial. This study was hence done to assess the pattern and severity of menopausal symptoms and to find out the factors associated with these symptoms....
Skin diseases are a common problem among young adults. There is paucity of data about it among medical students. This study aimed to find out the pattern of skin disorders and to describe their association with various socio-demographic factors among medical students.
This cross-sectional study was conducted in June 2011 in a medical college in Man...
Chemical injuries of gastrointestinal tract due to corrosive ingestion occur worldwide and are well documented. Deaths due to suicidal corrosive acid ingestion rarely do invite suspicion of foul play, like in un-witnessed deaths or the victim found dead in a suspicious manner. A case is reported where in a middle aged man was found dead with suspec...
Rheumatic fever (RF) is an important problem concerning developing countries like India. Rheumatic heart disease (RHD) is one of the most readily preventable chronic diseases.
This study was done to find out the clinical profile, risk factors, compliance with treatment and outcome among RF/RHD cases so as to suggest better case management strategie...
Health status of infants is a sensitive indicator of development and factors influencing it need to be better understood.
This study was conducted to search for factors associated with morbidity among infants and to find out their influence on weight gain during infancy.
This longitudinal study was undertaken in south India from November 2004 till...
Depression is found to be common among patients with diabetes and it is associated with poor outcomes in disease control. This study was carried out to find out the proportion and determinants associated with depression among patients with established type 2 diabetes mellitus (T2DM) in various tertiary care hospitals in Mangalore city of south Indi...
Rearing practices are a major determinant of nutritional and health status of infants. Therefore these practices need to be better understood.
To find out infant rearing practices in the study area.
A longitudinal study was conducted on a birth cohort of 194 infants. Information on rearing practices and anthropometric measurements were recorded eve...
The prevalence and incidence of epilepsy is higher in developing countries than in developed countries. Understanding pattern and risk factors of seizure cases will help in suggesting appropriate preventive measures.
This study was carried out to assess the pattern of seizure, its management and compliance with treatment.
Data from medical records...
Background: Environmental sanitation and health facilities in schools are an important public health issue. Aims: To assess the school environment, sanitation and health related facilities and to compare the availability of these facilities between government, aided and private schools. Materials and Methods: This cross sectional study was done in...
Tuberculosis (TB) continues to be one of the most devastating and widespread infections in the world. Of the nine million annual tuberculosis cases, about one million (11%) occur in children (under 15 years of age). Childhood tuberculosis is a neglected aspect of the tuberculosis epidemic.
To know the socio-demographic profile, type of tuberculosis...
Homelessness is a social as well as legal stigma on a Country's development index. In addition homeless people are exposed to increased incidence of diseases and accidents. Mangalore city, a bustling city located in Southern costal region of India, has seen tremendous growth in the past few years; with this the problem of migrants and homeless has...
A positive HIV test has far reaching implications for any individual. Rapid HIV testing should not imply quick patient management. Health care workers and counsellors must ensure that HIV testing is done within the accepted norms and standards of proper patient care. Pre and post HIV test counseling is required for persons undergoing all HIV testin...
Government of India launched PPI in 1995 to eradicate polio by the end of 2000. Despite this 733 cases were reported last year alone. There is a need to understand the reason behind high number of cases being reported even after so many years of programme implementation. This study was therefore conducted to assess knowledge of people about polio a...
India has the highest tuberculosis burden in the world. For successful implementation of the Revised National Tuberculosis Control Programme (RNTCP), treatment outcomes and factors which influence them need to be assessed on a regular basis. This study was thus done to find out the sputum conversion rates, treatment outcomes and sociodemographic fa...
Epileptic patients are often neglected in our society. This hospital based cross sectional study was done among epileptic patients in Mangalore city of south India in February 2011. Epileptic patients aged 7 or more were interviewed using a pretested semi-structured questionnaire. Standardised scales were used for assessing the quality of life (QOL...
To study the incidence and types of morbidity in the first year of life in a birth cohort, a longitudinal study. This study was undertaken in northern part of Karnataka state in India. Birth cohort consisted of all the children born during first six months of the study period. They were assessed at the time of enrollment and monthly follow up was d...
To determine the prevalence and assess health hazards associated withuse of substances
To assess the knowledge and attitude toward palliative care among people residing in urban and rural areas.
This cross-sectional study was conducted among 185 urban and 165 rural households. Senior-most member of the household present was interviewed using a questionnaire. Only those people who have heard about palliative care were included in the...
Onset of depression is occurring earlier in life today than in past decades. Adolescence being transitional period from childhood to adulthood is a stage of emotional instability resulting from demand for separation and independence. Evidence suggests that early intervention for depression in children can improve long term outcomes. This cross sect...
Citations
... Similar to our study, poor baseline knowledge and significant increase in knowledge after intervention has been observed in other studies. [18][19][20][21][22] Secondly we found even after intervention there is not 100% improvement in any component of reproductive health, and least improvement seen in menstrual hygiene knowledge .Also all participants could not mention all puberty changes before and after intervention this shows their ignorance toward their selves body and also may be due to we conducted single session and there is 3 months gap between intervention and post test during which participants might have forgotten about some changes, this suggests reinforcement of knowledge is necessary. Study conducted by Joseph et al also concluded in their study among school teachers that reproductive health education should be imparted in the school. ...
... (Dongre, 2017). The discrimination of primary school students based on socio-demographic factors like age, family background and parenting styles were reported in Mangalore, India (Joseph et al., 2021). Although there are abundant studies on the conflict-inducing approach of teachers, studies focusing on the discriminating behaviour of teachers are scarce and scattered (Ali et al., 2019). ...
... However, academic stress is common among students but majority could not handle it tactfully. Therefore, it should be addressed during counselling sessions [24]. ...