No abstract

Background: A natural phenomenon involving the discharge of blood through the vagina from the uterus, occurring at more or less monthly at regular intervals during the reproductive life of females is called menstruation. A normal menstruation occurs for the first time in the adolescent period between 11 and 14 years of age generally, with a period length of around 7 days, with a normal cycle length ranging between 21 and 45 days with an average blood loss of 20-80 ml. Materials and Methods: This was a cross-sectional study of 3-month duration (February 2019 to June 2019), in which 291 students from the various courses including medical, nursing, physiotherapy, and art and science students of a tertiary care hospital participated. Results: Two hundred and ninety-one students were included in the study, among which the age of the students was between 18 and 23 years of age with the majority of students between 20 and 21 years (43.99%). Most of them belong to rural backgrounds (40.55%) and majority of them are day scholars (86.25%). Discussion: This study was pointed to find a relation between stressful life events and menstrual patterns among college-going students of different courses of undergraduate college. Previous studies till now have reported a higher percentage of distress among postgraduates (32.8%) and resident doctors of hospitals (36.4%). Conclusion: Despite high levels of stress in undergraduate students, other factors can also play a significant role in maintaining their menstrual cycle.

Background and Aim: Because COVID-19-affected individuals with severe disease are more susceptible to develop acute respiratory distress syndrome, metabolic acidosis, and septic shock, it is currently widely accepted that severe COVID-19 cases have a higher fatality rate than mild instances. Hence, it is very critical to identify between severe and mild disease among the COVID-19-affected individuals at the earliest to prevent the fatal sequelae. The study was done using serum ferritin and D-dimer levels as biomarkers to find a correlation between the severity of lung involvement among COVID-positive patients. Materials and Methods: A cross-sectional study has been conducted between June 2021 and November 2021 for 6 months among the patients who are positive for COVID-19 at the Government Erode Medical College. Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) was detected in all of the patients using a real-time reverse transcription–polymerase chain reaction assay. Results: One hundred and eight COVID-19-affected individuals with lung involvement and 102 COVID-19-affected individuals without lung involvement were included in the current study. Groups A and B had mean ages of 61.72 ± 10.6 years and 54.78 ± 12.4 years, respectively. COVID-19 infection was studied in patients who were both mildly unwell and severely ill, where the findings revealed a link between serum ferritin and D-dimer levels and lung involvement among COVID-positive patients. The group with lung involvement had considerably higher D-dimer levels than the group without the involvement. Conclusion: The levels of D-dimer and ferritin are linked to serious involvement of the lung as indicated by the computed tomography scan. Both these markers of inflammation are useful in determining the severity of SARS-CoV-2 infection among the infected patients.

Background: Understanding medical students' mental health using subjective well-being indicators is important because it will allow for the creation of positive psychology-based intervention techniques as well as the implementation of main and secondary psychiatric disorder prevention procedures for medical students. These indicators may help to improve the overall quality of health care provided by these future professionals to the general public. Aims: The aim of the present study was to assess the levels of stress and subjective well being as well as factors related to it and their link to the academic performance amongst medical students of a tertiary care setting. Materials and Methods: This is a 3-month cross-sectional survey that took place amongst medical students at a tertiary care medical college in Salem, India, between January and March 2022. Students from all academic years, from first year to internship, were included in this study. The study included all students who were willing to participate and gave their informed consent. Results: Of the total 492 respondents, 288 (58.5%) were females and 204 (41.5%) were males. 29.7% of the study participants belonged to the first year of the MBBS course. 43.9% of the study participants possess a very good academic performance and majority (86.6%) of the students have regular attendance towards classes. Conclusion: Taken together, the findings of studies like these could inform preventive interventions aimed at reducing medical students' distress and promoting future doctors' well-being.

Background: Due to the rigorous academic standards and demanding professionals, the medical field is thought to be a stressful subject of study. This has a negative impact on the student’s mental and physical health. The long-term effects of this study will have an impact on identifying major issues that our students are facing, which will ultimately improve the level of medical treatment offered by future doctors. Materials and Methods: This cross-sectional study was conducted from October to December 2020 at a tertiary care institution in Tamil Nadu, India for three months. After getting the necessary ethical permissions from the institution with reference number GEMC/2020/002, the undergraduate students from the first year to the internship were included in the study. Results: The educational status of the students indicated that around 147 (31.1%) of respondents belonged in the first year. The mean + Pittsburgh Sleep Quality Index (PSQI) was observed to be 6.33 + 2.13, where undesirable sleep quality was predominant among 370 (78.3%) of the respondents with a p-value of less than 0.0001. The majority of the students (70.1%) have normal levels of stress which were significant with a p-value of 0.0027. Conclusion: Medical students experience poor sleep and ongoing stress, which can result in harmful behaviors like overindulging in junk food and a reduced likelihood of exercising. They are undeniably more prone to developing chronic illnesses. If these issues are not addressed, they will affect the medical care that is given to their incoming patients.