Medico Research Chronicles <p style="text-align: justify;"><code></code>Medico Research Chronicles (Medrech) ISSN No. <a href="">2394-3971</a>, is an official journal of Medico Edge Publications. It is a peer-reviewed, open-access journal of medical and health sciences, published on bi-monthly intervals. It publishes various manuscripts on the diverse specialization of medical, health science, and clinical research.</p> <p>Indexed by the&nbsp;&nbsp;<a href=""><strong>United States'&nbsp;NLM Catalogue, NCBI</strong></a></p> <p><strong>Medico Research Chronicles has been positively evaluated by <a href=";lang=pl">Index Copernicus</a>, Poland for the year 2020 and assigned an IC Value of 81.95</strong></p> <p><strong>Journal is valid for publication as per MCI Guidelines. A transitory period of 2 years (Upto 2022) is given for consideration of publication.&nbsp;</strong></p> <p><strong>Academicians and Researchers interested in reviewing the article are requested to join us on Publons: <a title="Publons by Web of Science" href=""></a></strong></p> <p><strong><a href="">Click Here </a></strong>for the notification details.</p> <p>&nbsp;</p> en-US (Dr. Bindu Jain) (Dr. Vibhor Kumar Jain) Sun, 18 Sep 2022 13:31:09 +0530 OJS 60 Did chess players have better mental state amidst the pandemic? - An assessment through the DASS index among Indians <p><strong>Background and Aim</strong>: The Covid 19 pandemic has created the most vulnerable health situation, forcing it to change the lives of billions. The main aim of this study is to evaluate the difference in mental health conditions between a chess-playing and non-chess-playing (control) group to determine the positive impacts of the game.</p> <p><strong>Methods:</strong> 400 participants were selected for the study (cases=100, controls=300) during the second wave of Covid-19 in India. An individual with a record of playing chess was included in the case group, while anyone who does not play chess was chosen as the control. This was a voluntary study wherein self-administered google forms were used as questionnaires to obtain data. Internal consistency, categorical analysis using Pearson Chi-Square Test at 95% confidence, t-test for the mean difference of DASS scores, and odds ratio at 95% confidence intervals were assessed.</p> <p><strong>Results:</strong> Internal consistency of the DASS index was high, with Cronbach's alphas of 0.9103 and 0.9443, respectively, for the chess-playing and control groups. Categorical analysis revealed that regularity and intensity had no association in alleviating mental health situations but reduced the risk of mental health deterioration among chess players (OR= 0.3628; 95% CI 0.166-0.789). Independent t-tests revealed significantly lower DASS scores for the chess-playing group concerning depression and total DASS index.</p> <p><strong>Conclusion</strong>: This study has generated preliminary evidence and calls for further research to understand the extent of this positive outcome. Enough evidence in this regard would appeal to the popularization and extensive coverage of chess.</p> Saptorshi Gupta, Soham Sengupta, Sourav Dey Copyright (c) 2022 Saptorshi Gupta, Soham Sengupta, Sourav Dey Sun, 18 Sep 2022 13:31:42 +0530 Evaluation of outcome of Enhanced Recovery After Surgery (ERAS) versus conventional method in colostomy closure in children <p>Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care protocol that represents a fundamental shift from the conventional management of the gastrointestinal surgical patient. Although ERAS protocol has been shown to improve outcomes in the adult surgical population, its application is still limited in pediatric surgery. This prospective observational study was carried out in the Department of Pediatric Surgery of Dhaka Medical College Hospital, Bangladesh from July 2019 to June 2021 aiming to compare the outcomes between ERAS and conventional perioperative care protocol in colostomy closure in children. A total of 60 patients of both sexes admitted for elective colostomy closure were included in this study. The patients were divided in two groups; 30 patients in the Enhanced Recovery After Surgery(ERAS) perioperative care group were considered as Group A and another 30 patients in the Conventional Method group were considered as Group B. Statistical analyses of the results were obtained by using Statistical Packages for Social Sciences (SPSS-22.0). We found Postoperative outcome (return of bowel movement and commencement of oral feeding) was 4.13 times better in group A than that of group B which was statistically significant (p&lt;0.05). More than two third (66.7%) of subjects needed only 7 days of postoperative hospital stay in group A whereas only 5(16.7%) subjects showed 7 days of postoperative hospital stay in group B. The difference was statistically significant (p&lt;0.05) between two groups.</p> Tarafder Mohammad Atiquzzaman, Tahmina Hossain, Susankar Kumar Mondal, Ashraf Ul Huq, Noor Mahammad, Nooriya Haque, A.K.M. Khairul Basher, Amitava Biswas Copyright (c) 2022 Dr. Tarafder Mohammad Atiquzzaman, Dr. Tahmina Hossain, Dr. Susankar Kumar Mondal, Prof. Ashraf Ul Huq, Dr. Noor Mahammad, Dr. Nooriya Haque, Dr. A.K.M. Khairul Basher, Dr. Amitava Biswas Sun, 25 Sep 2022 00:00:00 +0530 General characteristics and laboratory findings of patients admitted to medicine department of a tertiary care hospital with electrolyte imbalance <p><strong>Introduction</strong>: Electrolyte imbalance (EI) is an independent predictor of mortality and has of great clinical importance because these disorders have been associated with an increased risk of morbidity and mortality. Thus, prompt diagnosis and treatment are crucial in the management of patients admitted to the medicine department.</p> <p><strong>Objective:</strong> To assess the general characteristics and laboratory findings of patients admitted to the medicine department of a tertiary care hospital with electrolyte imbalance.</p> <p><strong>Materials and Methods:</strong> This retrospective study was conducted on patients attending the medicine department of Enam Medical College Hospital, Savar, Bangladesh over a period of six months from January to June 2022. A total of 501 patients over 18 years of age who presented in the medicine department with different electrolyte disturbance was included in this study. After admission and clinical examinations, data were collected from the patients after having a written informed consent from them.</p> <p><strong>Results:</strong> Among, 501 patients with electrolyte imbalance, 55% (n=275) were male and 45% (n=226) female. The mean age of patients was 59.28 ±16.79 years. The most common symptoms of the patients were dyspnoea (14.9%, n=75), fever (13.9%, n=70), and systemic deterioration (12.1%, n=61). Most and least frequent electrolyte imbalances were hyponatremia and hypermagnesemia, respectively. Confusion (14.1%), oedema (10.0%) and rales (9.0%) were most frequently seen in physical examination. ECG examinations revealed normal sinus rhythm in 62.2% of the patients, and most frequent pathological findings were tachycardia (23.5%) and atrial fibrillation (6.7%). Most frequent oncological diagnoses in these patients were lung and haematological malignancies. By physical, clinical, and laboratory examinations, sepsis was frequently diagnosed in 10.5% of the patients, pneumonia in 8.7%, and acute renal failure in 7.1%. All patients had at least one comorbid condition.</p> <p><strong>Conclusion:</strong> Patients admitted to the medicine department with electrolyte imbalance require close evaluation and frequent laboratory draws depending on the duration and severity of underlying disease states. In our study, our patients were diagnosed with various oncological diseases (39.5%). These malignancies expose a major risk for electrolyte imbalances. Most patients undergoing therapy for the electrolyte abnormalities require longer hospital stays depending upon the severity and acuity of different electrolytes.</p> MM Hossain, NM Mondal , MM Khan, MQ Hasan Copyright (c) 2022 Hossain MM, Mondal NM, Khan MM, Hasan MQ Thu, 29 Sep 2022 00:00:00 +0530