Background: Acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, upto a fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. So, we have studied the clinical profile and management of acute pancreatitis. Aims and objectives were to study the clinical presentation, complications and treatment modalities of acute pancreatitis that can be offered in our institution and the outcome.Methods: This prospective study was conducted between November 2018 to October 2020 on patients admitted to Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya. 50 patients with acute pancreatitis were enrolled for the study.Results: Study included 50 patients with acute pancreatitis, 40 males and 10 females. The peak incidence was in the fourth decade with the median age of 35 years. The commonest etiology was alcohol consumption accounted for 72% of cases followed by gall stones (12%), idiopathic (8%) and others (8%).Conclusions: Acute pancreatitis was found to be in a younger age group. Serum amylase and lipase should be used for diagnosis wherever possible. Scoring systems help to identify patients who are more likely to have a severe attack and they should be referred to higher centers if adequate facilities are not available. Severe cases should be managed in well-equipped ICU. Timely intervention by endoscopist and surgeons are crucial to reduce morbidity and mortality.

Introduction: Due to the current Novel Corona Virus (COVID-19) pandemic related lockdown in India, regular classes are suspended to maintain social distancing. Educational institutions are now opting for online learning to facilitate and continue with the academic schedule of students. Aim: To evaluate the acceptability, attitude, and satisfaction of online learning among nursing students during COVID-19 lockdown. Settings and design: A cross-sectional study was conducted with 193 nursing students of a nursing college attached to private medical college and hospital, through online Google Forms questionnaires. Materials: Semi-structured proforma for socio-demographic details, Social Presence Scale (SPS), and related Satisfaction Scale (SS) were used for evaluation. Statistical analysis: Sociodemographic details were mainly descriptive and categories compared using Pearson’s correlation test and ordinal variables using Spearman’s Rho correlation. Results: The mean age of 20.01 years (Standard Deviation (SD) = 1.42), the mean score of SPS was 44.75 (SD=5.89) and that of SS was 31.12 (SD=7.59). SPS and SS scores correlated significantly (P<.000), with a strong positive correlation coefficient of .602. Positive attitude towards online learning was found in 61.7% of students, and 62.7% opined their experience to be satisfactory. Conclusion: This study shows that nursing students show adequate acceptability, positive attitudes, and higher satisfaction levels related to online learning, as determined by Social Presence Theory, during COVID-19 lockdown in India.

No abstract

Introduction: Duration of untreated psychiatric illness is an important component of the final pathway to care for patients. Longer the duration of untreated illness, poorer is the prognosis. Aim: To determine the Duration of Untreated Illness (DUI) along with its correlates, to thus evaluate the pathway to care at our setup. Settings and design: A retrospective cross-sectional study including 228 patients with psychiatric illnesses done at a tertiary care general hospital with a psychiatric setup. Materials: Semi-structured proforma for socio-demographic details, psychiatric diagnosis, duration of illness and duration of untreated illness. Statistical analysis: Sociodemographic details were mainly descriptive and categories compared using Pearson’s Chi square test. Results: The mean age of patients was 36.13 years (Standard Deviation (S.D.) 15.06). The mean DUI was 57.53 months (80.21). Excluding patients with Alcohol Dependence Syndrome (ADS), mean duration of illness was 51.58 months (S.D. 75.50) and DUI was 33.77 months (S.D. 49.11). Mean duration of illness for ADS group was 176.19 months (S.D. 101.20) and DUI was 165.90 months (S.D. 103.07). There was significant association of DUI with occupation (P = .039) and residence (P = .006). While 127 (55.70%) of patients showed to a psychiatrist at first, seventy (30.7%) patients went to faith healers first. Conclusion: It took about 5 years on average to reach a psychiatric facility, which was higher in patients with ADS. Awareness regarding illness model of ADS and other psychiatric disorders along treatment availability may improve DUI and lead to better prognosis.

No abstract