Central India Journal of Medical Research最新文献

{"title":"Comparative study of outcome of the Teaching methods for Early Clinical Exposure in 1st Professional MBBS students: Ward side patient demonstration method Vs Video & Dummy patient demonstration method","authors":"B. L. Bamboria, Namit Garg, Nitu Kumari, Anita Choudhary, A. Tripathi, Megha Sharma, Ashish Sharma","doi":"10.58999/cijmr.v2i03.138","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.138","url":null,"abstract":"Background: Early Clinical Exposure (ECE) is a newer concept of teaching learning methodology which provides clinical perspective and relevance to learning of basic sciences. ECE also orients towards actual clinical scenarios and helps the medical students to correlate their theoretical knowledge with real life situations right from the first year of medical college. Aims and Objectives: This study aimed to compare the outcome of teaching methods for Early Clinical Exposure in 1st Professional MBBS students and to assess the effect and efficiency in their performance. Materials and Methods: This prospective comparative study was carried with a sample population of 50 students of MBBS 1st prof. 2021 batch who were selected by random allocation method and divided into two groups of 25 students each, one acting as Bedside ECE group and other as Virtual ECE group. Pre training evaluation was performed at the beginning of study and Post training evaluation was performed after three months. The student’s feedback was taken regarding advantages, disadvantages and suggestions for further improvement. Results: A statistically significant difference was observed between the Bedside ECE and Virtual ECE group at post training in theory (t=15.682, p<0.001), practical (t=12.671, p<0.001) and total (t=17.460, p<0.001) marks of the students after 3 months training. The mean scores of participants were significantly improved more in the Bedside ECE group (39.92±3.23) as compared to Virtual ECE group (23.04±3.60). Analysis of students’ feedback revealed that Bedside ECE was found to be more interesting method of teaching as compared to virtual methods and helped to develop empathy towards the patients as well as motivated them to read more about the topic and helped in retention. Conclusion: Direct contact with patient has been seen to play a crucial role in development of clinical reasoning, communication skills and professional attitudes. The concept of Bedside Early Clinical Exposure goes longway in helping young minds in grasping clinical and theoretical concepts better by involving all domains of learning. KEY WORDS: Competency Based Medical Education, Early Clinical Exposure, Empathy, Reflection, Bedside ECE, Virtual ECE","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139169387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Giant Pulmonary Bullae Compressing the Heart with a Brief Review","authors":"Meet Bhanushali, Kriti Dwivedi, A. Julka, M. Singapurwala, Swapnil Jain, J. Agrawat","doi":"10.58999/cijmr.v2i03.125","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.125","url":null,"abstract":"Introduction: An air space of >1cm and air space occupying >1/3 of hemithorax are called as bullae and Giant Pulmonary Bullae (GPB), respectively. GPBs are rare and usually accompany smoking abuse-related diseases. The GPB may lead to hypoxia and or mass-like compression effect on neighboring healthy lung and mediastinum. The bullectomy is the gold standard but in surgically unfit cases one has to select result result-oriented, minimal-invasive procedure with considering risk and benefit.Case report: A 27-year-old chest symptomatic female with idiopathic GPB occupying most of the right hemithorax with herniation to the contralateral side was detected on CT thorax with low cardiac ejection fraction on ECHO. A tremendously improved cardiac ejection fraction from 30 to 58% was achieved after a simple percutaneous intracavitary placement of a pigtail catheter with an underwater seal carried out with local anesthesia. Also, she could be weaned off from O2 support.Discussion: In a surgical unfit case of GPB the number of bullae, its size, site, and location (unilateral or bilateral) with evaluation of the underlying condition of lung and comorbidity is a prerequisite for intervention. An alternate minimally invasive procedure is to have opted to decompress the GPB. Spontaneous pneumothorax is the most common complication GPB, even without a percutaneous procedural approach, and can easily be managed with an underwater seal drainage tube.Conclusion: The GPB may lead to chronic hypoxia and a mass-like effect, so to avoid life-threatening emergency situations decompression of GPB be considered followed by resection","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study of Maternal Near Miss by Near Miss: Mortality Ratio, Exploring Quality of Care","authors":"Shany John, Vandana Patidar, Kalpana Mahadik","doi":"10.58999/cijmr.v2i03.126","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.126","url":null,"abstract":"Introduction: Near Miss being a proxy indicator of MMR, evaluation of facility services and Near Missnumbers was carried out in a teaching hospital in Central India. Sustainable Development Goal targetsMMR less than 70 by year 2030. This study aims to report and evaluate causal factors of maternal nearmiss ratio, maternal death ratio as it is a sensitive indicator of medical care given by the facility. Criticalcare services were quantified in this study.Methods: 4422 number of delivery files occurring over a period of 3 years were included in aretrospective manner. Maternal deaths were 21, Near Miss 170 and live births 4237. Variables studiedwere Maternal near miss ratio, Maternal near miss mortality ratio, mortality index and final diagnosisof each patient. The number of blood components, urgent surgery, ventilator, ICU stay, dialysis andnumber of fourth-generation antibiotics were studied for calculating risk factors against variousdiagnoses. Bi-variate analysis and percents were statistical tools used.Results: Maternal near miss ratio was 40.12, the maternal near miss mortality ratio 8.09:1, and mortalityindex 10.99%. The findings included 85.3% blood transfusion use, 61.8% surgical intervention, 38.2%inotrope, 32.4% ventilator, 96% ICU and 96% fourth generation antibiotic use. Odds for comparisonof services given for various different etiological conditions with respect to MNM ratio and MNMMortalityratio was statistically significant for our data; giving a positive and better ranking to servicesin this Institute.Conclusion: The maternal near-miss ratio of 40.12, Mortality index of 10.99% and MNM – Mortalityratio 8:1 are the major findings of this study.Odds for comparative statements between other reportsand others showed statistical significance.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139168402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution and Determinants of Obesity among Adults Attending Health Facilities of a Medical College in Ujjain","authors":"K. Deshpande, Archit Khardenavis","doi":"10.58999/cijmr.v2i03.146","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.146","url":null,"abstract":"Introduction: Obesity is a significant risk factor for various serious health conditions, includinghypertension, diabetes, cardiovascular diseases, and cancers. With increasing socio-economic statusand life expectancy in India, the prevalence of obesity is on the rise, contributing to the burden oflifestyle-related disorders. This study aims to investigate the distribution and determinants of obesityamong apparently healthy adults attending health facilities in a medical college located in a rural areaadjoining Ujjain city.Methods: A cross-sectional study was conducted within the field practice area of the Department ofCommunity Medicine at R.D. Gardi Medical College. A sample size of 354 participants was determinedand data was collected through structured interviews covering socio-demographic information,medical history, anthropometric measurements, and determinants of health. Body mass index (BMI)was computed and participants were classified based on established cut-off points for Asian Indians.Results: Out of 310 fully completed questionnaires, 47.4% of participants were overweight or obese.Age was significantly associated with obesity, with prevalence increasing from 34.1% in the 18 to 30age group to 75% in participants over 60 years. Urban residents had a higher prevalence of obesitycompared to rural residents (53.8 vs 44.1%). Higher educational status, overeating between meals, andwatching television while eating was significantly associated with obesity. Physical inactivity was moreprevalent among overweight or obese participants (59.7 vs 26.3%).Conclusion: The study finds the need for tailored interventions to combat obesity, especially amongfemales, older individuals, urban residents, and those with higher education. Addressing lifestylefactors such as overeating and sedentary behavior is essential in the battle against obesity and associatedchronic diseases.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insight of Yoga Nidra: Scientific Basis","authors":"Anita Choudhary","doi":"10.58999/cijmr.v2i03.148","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.148","url":null,"abstract":"When awareness is separate and distinct from mental activity, When waking, dream and deep sleep pass like clouds, Yet awareness of Self remains, This is the experience of total relaxation…That is why, in tantra, Yoga Nidra is said to be the doorway to Samadhi.1”- Swami Satyananda","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139168358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Patient-Centered Care and Health Outcomes through Patient-Reported Outcome Measures","authors":"Aditya S. Berad","doi":"10.58999/cijmr.v2i03.131","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.131","url":null,"abstract":"Patient-reported outcome measures (PROMs) have gained prominence as valuable tools for assessingpatient experiences and outcomes in healthcare. This article explores the role of PROMs in enhancingpatient-centered care, facilitating shared decision-making, and improving overall health outcomes. Theimplementation, benefits, challenges, and future prospects of PROMs are discussed","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139169091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Formulate a Research Question, Hypothesis and Objective for a Clinical Study?","authors":"S. N. Dwivedi","doi":"10.58999/cijmr.v2i03.133","DOIUrl":"https://doi.org/10.58999/cijmr.v2i03.133","url":null,"abstract":"A research study mainly addresses a specific research question (s) which is to be primarily answeredafter completion of that clinical study. As such, the considered research question decides the hypothesisof the study. Ultimately, the hypothesis of a study determines the objectives of that study. Generally, astudy’s planning also relies on the primary research question/objective of that study. Keeping in viewof the pivotal role of these facts, the present write-up aims to briefly address important issues whiledeciding the research question, hypothesis and objective (s) of a clinical study.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139169923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Deranged Liver Function Tests and Radiological Severity Indicators in COVID-19 Patients","authors":"A. Tripathi, Kratika Singh, Prabhakar Gupta, Ajay Adhikari, Ajay Verma, Tejaswini Dwivedi","doi":"10.58999/cijmr.v2i02.112","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.112","url":null,"abstract":"In this retrospective observational study data of 30 COVID-19 positive confirmed cases was extracted from medical archives of RD Gardi Medical College Hospital, and this data was analysed. Liver function tests like SGOT, SGPT and total bilirubin were compared to radiological indicators of increased lung involvement in these 30 patients. It was found that there is significant association between increased involvement of lung tissue damage and derangement of liver function tests of these patients at the time of admission. Lung tissue involvement was calculated as per radiologically established scores for assessing severity of COVID-19.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YOGA eye exercises and Refractive Errors","authors":"Snehal Mahadik, S. Khare, Vinod Diwan","doi":"10.58999/cijmr.v2i02.130","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.130","url":null,"abstract":"The article delves into the prevalent issue of refractive errors, a common visual problem affecting a substantial portion of the global population, and particularly emphasizes its growing occurrence among school-going children. The surge in digital device usage due to the COVID-19 pandemic has amplified concerns, as extended screen time contributes in worsening the existing problem of poor vision. The article underscores the multifaceted impact of unaddressed refractive errors on children, including hindered academic performance, impaired social interactions, and a sedentary lifestyle. Socioeconomic and demographic factors play a role in the prevalence of refractive errors, with limited access to eye care services disproportionately affecting lower-income families. The importance of early diagnosis and intervention is highlighted to prevent unwanted consequences. A significant portion of the article explores the potential role of yoga in mitigating refractive errors. Yoga's holistic approach, incorporating eye exercises, mindfulness, stress reduction, and outdoor practice, offers promise in promoting eye health. While acknowledging that yoga may not correct refractive errors, the article emphasizes its potential to reduce eye strain caused by screen time and near-work activities, ultimately fostering healthier habits and overall well-being in children. The article concludes by emphasizing the need for complementary practices alongside standard eye care to ensure children's visual health and academic success while suggesting that embracing yoga could be a step toward safeguarding children's eye health and quality of life.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Michaelis Rhombus, Height and Foot Length of Patient in Prediction of Mode of Delivery","authors":"Deepika Jain, Priyanka Bramhwanshi, Pulak K. Roy, Kalpana Mahadik","doi":"10.58999/cijmr.v2i02.111","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.111","url":null,"abstract":"Background: The Michaelis rhombus, a diamond-shaped area in the lower back is easy to measure. During labor it is thought to move posteriorly, pushing out the wings of the ileum and increasing the diameter of the pelvis. Comparison of Michaelis Rhombus, height and foot length of patient in has been used as a simple means to identify women at risk of cephalo-pelvic disproportion and help in prediction of a safe mode of delivery. Aim and Objective: The present study was conducted to evaluate the Michaelis rhombus as predictor of contracted pelvis and to compare its efficacy to other measures like maternal height and foot length of labouring and or antenatal mothers.  Method: This is a Prospective Observational comparative study conducted on 220 antenatal pregnant women who were admitted at the Department of Obstetrics and Gynaecology, R. D. Gardi Medical college and C.R.G. Hospital, Surasa, Ujjain (M.P.), India. This study was carried out on pregnant women in the age group of 19-35 years, which were coming for delivery in our hospital with gestational age >36 weeks. Result: Out of 220 subjects 190 delivered by normal delivery and 30 subjects by LSCS. Transverse diagonal was significantly lower in LSCS mean 9.53±0.69 cm as compared to normal delivery where transverse diagonal [mean 10.59±0.55 cm] (p = 0.000). Vertical diagonal was lower in LSCS cases (mean 10.73±0.87 cm) as compare to normal delivery where vertical diagonal (mean 11.94±0.73 cm). Foot length was significantly lower in LSCS cases with mean 23.12±1.28 cm as compared to normal delivery with mean 24.48±1.05 cm. Height was significantly lower in LSCS cases with mean 148.23±5.56 cm as compared to normal delivery with mean 153.94±3.31 cm. Conclusion: Anthropometric parameters like Michaelis rhombus, height, foot length can be used as predictor of contracted pelvis. These measurements help to increase ease of patient for clinical assessment of pelvis by decreasing multiple per vaginal examination, thereby decreasing chances of infection.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}