Indian Journal Of Clinical Practice最新文献

{"title":"Regular Physical Activity Improves Ability to Tolerate Pain","authors":"Dr Veena Aggarwal","doi":"10.59793/ijcp.v34i3.568","DOIUrl":"https://doi.org/10.59793/ijcp.v34i3.568","url":null,"abstract":"Regular Physical Activity Improves Ability to Tolerate Pain","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129444442","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":"STAR (Survey for ManagemenT of DiAbetes with FibeR-rich Nutrition Drink): A Pan India Survey to Understand the Physician and Patient Perspective Regarding the Role of Dietary Fiber Supplement in the Management of Type 2 Diabetes","authors":"S. Kalra, N. Kapoor, S. Bhattacharya, Sambit Das, N. Deshpande, S. Kota, S. Shaikh","doi":"10.59793/ijcp.v34i3.584","DOIUrl":"https://doi.org/10.59793/ijcp.v34i3.584","url":null,"abstract":"Objectives: The aim of the STAR survey was to understand the physicians’ knowledge, attitude and perception regarding the role of nutritional dietary fiber supplements in the daily management of type 2 diabetes mellitus (T2DM). It also aimed to compare the changes in glycemic parameters as well as energy and satiety levels between patients taking a high-fiber supplement and those not taking a fiber supplement. Methods: Two cross-sectional pan-India surveys were conducted. The first was among 152 physicians who had >5 years of experience in treating patients with T2DM and treated >50 patients with T2DM per month. A self-administered paper-based questionnaire was used for the survey. The other survey was conducted among 3,042 patients with T2DM who were receiving treatment with antidiabetics. These patients were further categorized into the Horlicks Diabetes Plus (HDP) group, which consisted of 1,524 patients who had consumed the HDP fiber supplement for a minimum of 3 months and the non-HDP group, which included 1,518 patients who had never consumed HDP. Results: Almost all physicians prescribed fiber-rich nutritional supplements to their patients with T2DM and believed that dietary fiber has an important role in managing glycated hemoglobin (HbA1c) values, healthy weight and cholesterol levels. Among the main benefits of HDP seen by physicians were improvement in satiety levels and increase in physical activity, reduction in HbA1c, fasting and postprandial glucose, and reduction in dose and/or number of hypoglycemic medications. All physicians recommended that it was important to increase awareness among patients as well as doctors regarding the benefits of HDP in patients with T2DM. Patients in the HDP group reported a mean decrease of 0.72 in their HbA1c value which was statistically significant at 3 months (8.04 at baseline to 7.32 at 3 months). In contrast, the non-HDP group showed a non-statistically significant decrease of 0.61 in HbA1c from a baseline value of 8.15. Furthermore, patients reported a significant decrease in weight of 3 kg in 3 months from baseline value of 72.11 kg to 69.11 kg. This reduction in weight was observed in 82% patients in the HDP group, while the non-HDP group showed an insignificant weight reduction from a baseline value of 72.14 kg to 71.46 kg in 3 months. About 83% of patients reported feeling full for longer periods of time and 92.62% reported feeling more energetic after starting HDP. The compliance and satisfaction rates with HDP were 96% and 75%, respectively. Conclusion: A high-fiber supplement taken along with patients’ existing antidiabetic treatment plan has the potential to decrease glycemic parameters and weight while increase the satiety and energy levels among patients with T2DM. However, these results need to be evaluated further with long-term clinical studies conducted in the real world. ","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132853407","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":"An Investigation of the Equivocal Relationship Between Daydreaming, Creativity and Well-Being","authors":"Riddhima Kamat, Joseph M. Diehl","doi":"10.59793/ijcp.v34i3.572","DOIUrl":"https://doi.org/10.59793/ijcp.v34i3.572","url":null,"abstract":"An extensive number of studies have been conducted on the relationship between daydreaming, creativity and well-being, with mixed results, nonetheless. Particularly, research has demonstrated both positive and negative effects of daydreaming on creativity and well-being, as well as of creativity on well-being. In addition, most studies have been conducted on adults. Therefore, the purpose of this survey-based study conducted in, Delhi University in May 2023 was to further explore the relationship among the aforesaid constructs on a sample of late adolescents. To this aim, 622 Indian were asked to complete three psychometrically validated scales. The following research hypotheses were proposed: H1) Daydreaming would be a statistically significant predictor of creativity; H2) Daydreaming would be a statistically significant predictor of overall distress, stress, anxiety and depression; H3) There would be a statistically significant difference in daydreaming among severity levels of stress, anxiety and depression; H4) Creativity would be a statistically significant predictor of overall distress, stress, anxiety and depression; and H5) There would be a statistically significant difference in creativity among severity levels of stress, anxiety and depression. Results showed that daydreaming was not a statistically significant predictor of creativity, but greater daydreaming was related to higher distress, stress, anxiety and depression. Furthermore, participants with higher creativity experienced greater anxiety. Nevertheless, creativity was not a statistically significant predictor of distress, stress and depression. Finally, participants with extremely severe depression displayed lower creativity than those with moderate depression. Further research is advised before practical implications are recommended.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115881059","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":"Vitamin D Deficiency Eradication: A National Priority","authors":"S. Kalra, N. Kapoor, R. Sahay, A. Zargar, Shehla Sheikh, A. Dasgupta, Sambit Das","doi":"10.59793/ijcp.v34i3.575","DOIUrl":"https://doi.org/10.59793/ijcp.v34i3.575","url":null,"abstract":"Vitamin D Deficiency Eradication: A National Priority","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128344640","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":"Safety and Efficacy of Paracetamol + Lignocaine Injection in Patients with High-grade Fever: A Prospective Analysis","authors":"Sandipani Nayak, P Shailesh, Arun Paharia, Krishanu Krori, Shibsankar Pal","doi":"10.59793/ijcp.v34i3.571","DOIUrl":"https://doi.org/10.59793/ijcp.v34i3.571","url":null,"abstract":"High-grade fever is a common presenting symptom in various infectious and inflammatory conditions, requiring prompt and effective management. Paracetamol (acetaminophen) is a widely used antipyretic agent, while lignocaine possesses analgesic and anti-inflammatory properties. This prospective study evaluated and established the safety and efficacy of paracetamol + lignocaine injection in patients with high-grade fever. The study outcomes revealed that after administering paracetamol and lignocaine injections, 89% of patients experienced a reduction in high fever, while 68.6% of patients reported no or mild pain at the injection site. Based on these findings, the authors recommend that health care professionals consider the potential benefits of using paracetamol and lignocaine injections for patients suffering from severe fever accompanied by pain and discomfort.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116563396","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":"An Open-labeled Clinical Study to Evaluate the Safety and Efficacy of “Anuloma DS” in Improving Constipation","authors":"Varuni BG","doi":"10.59793/ijcp.v34i2.454","DOIUrl":"https://doi.org/10.59793/ijcp.v34i2.454","url":null,"abstract":"Background: Constipation is a common gastrointestinal problem in the general population. Despite a plethora of well-established and safe treatment options, the improvement is not satisfactory for many patients. This has prompted interest in alternative therapeutic strategies for constipation. Methods: This open-label, non-comparative single-arm clinical study evaluated the efficacy and safety of the polyherbal formulation “Anuloma DS”, 1 tablet daily at bedtime, in improving bowel movements in 30 adult patients with functional constipation. Patients were evaluated at baseline (Visit 1, Day 0) and follow-ups during Visit 2 (Day 7 ± 2), Visit 3 (Day 14 ± 2) and Visit 4 (End of the Study) at Day 30 ± 2. Results: There was a significant increase in the mean of spontaneous bowel movement every week from day 7 to days 14 and 30. All constipation symptoms such as abdominal bloating (aadmana), abdominal pain/discomfort (aanaha), feeling of incomplete evacuation and straining during passing stool improved significantly as did the SGA and the PGA scores. Conclusion: Anuloma DS is highly effective for the treatment of chronic functional constipation. No treatment-related side effects were reported by the study participants.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124771127","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":"Ayurveda and Endocrinology: Common Ground, Common Goals","authors":"Sanjay Kalra, Atul Dhingra, Saurabh Arora","doi":"10.59793/ijcp.v34i2.452","DOIUrl":"https://doi.org/10.59793/ijcp.v34i2.452","url":null,"abstract":"In this editorial, we explore Ayurvedic concepts of health, and analyze how they relate to modern endocrinology. We expand our discussions to inclusion of other South Asian schools of medicine, as well as philosophical and metaphysical models of South Asian thought. A detailed assessment suggests that Ayurveda is based upon sound endocrine and metabolic foundation, which can serve as a framework for person-centered, integrative management of modern pandemics such as diabetes, obesity and other endocrine disorders. We call for awareness and understanding of the common ground, as well as common goals of Ayurveda and modern endocrinology.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"249 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131581122","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":"Minimal Intubating Dose of Succinylcholine: A Comparative Study of 0.4, 0.5 and 0.6 mg/kg Dose","authors":"Ajit Gupta, Saurav Shekhar, Ankesh, Rajesh Kumar, Jay Prakash","doi":"10.59793/ijcp.v34i2.455","DOIUrl":"https://doi.org/10.59793/ijcp.v34i2.455","url":null,"abstract":"Muscle relaxants are integral part of modern balanced anesthesia and succinylcholine, a depolarizing drug, is in use despite its adverse effects. The excellent intubating condition, fastest onset and shortest duration of action make it an excellent choice for anesthesiologists. The conventional dose of 1.5-2 mg/kg is commonly used for obtaining relaxation for intubation. This study was conducted with much smaller dose of succinylcholine as 0.4, 0.5 and 0.6 mg/kg to evaluate the acceptable intubating dose at 60 seconds, which was unlikely to have any untoward/side effects.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"651 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134139645","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":"The Pyramid of Transgender Health Therapeutics","authors":"Sanjay Kalra, Sanjay Sharma, Debmalya Sanyal, Pramila Kalra, Suja P Sukumar, Ashok K Rohilla, Mohan T Shenoy","doi":"10.59793/ijcp.v34i2.458","DOIUrl":"https://doi.org/10.59793/ijcp.v34i2.458","url":null,"abstract":"Transgender care needs a multidisciplinary team approach. The awareness about transgender health has increased over the past few years in India. The pyramid of transgender health helps to demystify the care of transgender individuals. The 7 S's of lifestyle modification need to be followed in the routine clinical care of transgender individuals. The individuals also need psychological care and support, metabolic and medical care, endocrine management, and later surgery in some cases. The policy makers can use the pyramid to decide about financial help to the community for their holistic care. The physicians involved in the care of transgender individuals can also take guidance about comprehensive care and management of transgender and gender diverse individuals.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132928176","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":"Pleomorphic Adenoma of the Hard Palate:A Multidisciplinary Approach","authors":"Ganapati L Dharmashala, S Vinayak E, Padmini Bhimsen, Mamta Hegde","doi":"10.59793/ijcp.v34i2.456","DOIUrl":"https://doi.org/10.59793/ijcp.v34i2.456","url":null,"abstract":"Pleomorphic adenoma is the most common salivary gland tumor accounting for 80% of all major salivary gland tumors. It is a benign salivary gland neoplasm that constitutes 3% to 10% of the neoplasms in the head and neck region.1 Salivary gland neoplasms represents less than 1% of all tumors. This article is being showcased as a special case due to the fact it was done at a Taluk Hospital and also because ENT and oromaxillofacial surgeons were involved during the surgery.","PeriodicalId":134500,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132513883","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}