Anadika Rana, Narendra Kumar, Jay Tewari, Aman Kumar, A. Sachan, Rahul Kumar
{"title":"Factors and perceptions of medical undergraduate students influencing their choice of specialty","authors":"Anadika Rana, Narendra Kumar, Jay Tewari, Aman Kumar, A. Sachan, Rahul Kumar","doi":"10.4103/kleuhsj.kleuhsj_172_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_172_23","url":null,"abstract":"BACKGROUND: Students make their decision on a future medical career while experiencing different areas of medical specialties based on their perceptions and preferences. OBJECTIVE: The objective of the study is to explore the factors and perceptions of undergraduate medical students which influence their choice of postgraduate specialization. MATERIALS AND METHODS: This cross-sectional study was conducted in the year 2022 among 257 2nd year undergraduate medical students who were queried about possible factors that might influence their choice of specialization. The factors were grouped as intrinsic factors (personal attributes and preferences); and extrinsic factors (nature of work and working environment). Data entry and analysis were done in SPSS version 23. RESULTS: Final analysis was done on 235 students out of a total of 257 students (response rate of 91.43%). Majority (86.4%) were 19–20 years of age, with mean (±standard deviation) age of 19.8 (±0.9) years. Gender preference was observed to affect choices of a few specialties such as orthopedics and obstetrics/gynecology. Motivating factors for choosing a certain specialization were the perception of a better quality of life (84.7%); financial rewards (26.8%); and less work pressure (23.4%). Most of our medical students claimed that the selection of their specialty was based on prior clinical posting (65.5%) and influenced by teaching faculty and hospital consultants (59.6%). 8.1% of the students reported that COVID affected their choice of specialty. Specialization in pre- and para-clinical subjects was preferred by 3.4% (n = 8) of the participants. CONCLUSIONS: The study identified a mix of both intrinsic and extrinsic factors influencing, motivating, and guiding their choice. Specialized careers support programs may be integrated into the curriculum following an analysis of students' perceptions in different disciplines.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346838","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}
Rakesh Roushan, Ritesh Singhal, M. Barla, Manu Gaur
{"title":"Development and validation of a self-assessment tool to determine Prakriti, the human constitution types of Indian traditional medicine","authors":"Rakesh Roushan, Ritesh Singhal, M. Barla, Manu Gaur","doi":"10.4103/kleuhsj.kleuhsj_170_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_170_22","url":null,"abstract":"INTRODUCTION: Ayurveda, the traditional system of health care that is native to India, has a unique concept of Prakriti. It divides the population into seven constitutional types. Every constitution type has some unique features explained by Acharyas. OBJECTIVE: The primary objective was to develop a validated Deha Prakriti determination tool that will be easier to administer, less time-consuming, and more sensitive to even small changes. MATERIALS AND METHODS: A questionnaire was prepared based on features explained in Charak Samhita. The data generated through the cross-sectional study of the questionnaire, from February 22 to March 2022, were used for analysis. Analysis of the questionnaire was evaluated based on content validity, reliability, and validity test. RESULTS: Data from 210 respondents of either gender aged between 15 and 30 years were used for the analysis. The reliability and validity of the newly developed tool were found satisfactory on statistical analysis. CONCLUSIONS: The findings of this cross-sectional analysis assert that the questionnaire is valid. Therefore, the tool may be used for academic and clinical purposes.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346933","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":"Robotic surgery in otorhinolaryngology and head-and-neck oncology","authors":"S. Swain","doi":"10.4103/kleuhsj.kleuhsj_421_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_421_23","url":null,"abstract":"Robotic technology applications in the surgical and medical disciplines have been developed gradually over many years with few contributions from many sources. Over conventional open procedures, these technologies provide a variety of benefits, including enhanced cosmesis, lower morbidity, and higher surgical safety. In < 2 decades, robotic surgery in otorhinolaryngology has advanced fast. It has been utilized in the surgical treatment of several pathological lesions and has become the part of the standard care in the treatment of oropharyngeal malignancies. Robotic surgery provides improved visualization, instrumentation, and ergonomics in comparison to conventional approaches in otorhinolaryngology, although cost remains a concern. Future robotic surgery will use technological innovation to higher visualization, expand surgical access, and even augment surgical decision-making with artificial intelligence. In this review article, we discuss the history of robotic surgery, the use of robotic surgery in otorhinolaryngology and head-and-neck surgery, and advantages and disadvantages of robotic surgery.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344098","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":"Nipah virus disease: A product of man-wildlife conflicts","authors":"Madhav Prabhu","doi":"10.4103/kleuhsj.kleuhsj_555_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_555_23","url":null,"abstract":"","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346486","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 of rheumatoid factor and anti-cyclic citrullinated peptide antibody with demographic, clinical, and inflammatory parameters in rheumatoid arthritis","authors":"Rajat Sarkar, Bappaditya Ghosh, Manoj Lama","doi":"10.4103/kleuhsj.kleuhsj_232_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_232_23","url":null,"abstract":"INTRODUCTION: Rheumatoid arthritis (RA) is an autoimmune disease, characterized by chronic inflammation that often leads to multiple peripheral joint destruction. It is associated with several autoantibodies such as anti-cyclic citrullinated peptide (ACCP) and rheumatoid factor (RF). This study was conducted to find out the association between RF and ACCP seropositivity with demographic, clinical, and inflammatory parameters in RA patients. MATERIALS AND METHODS: In this study, a total of 157 RA patients, aged between 20 and 69 years, who satisfied the American College of Rheumatology/European League Against Rheumatism 2010 criteria of RA were included. Serum samples were obtained from the clotted blood. Serum concentrations of ACCP, RF, and C-reactive protein (CRP) were determined using commercially available ELISA kits. The Westergren technique was used to estimate the erythrocyte sedimentation rate (ESR). Data were statistically analyzed using SPSS version 27. P <0.05 was considered statistically significant. GraphPad Prism version 8.0.2 was used for analyzing Pearson's correlation. RESULTS: In the present study, a significant correlation was observed between serum RF and ACCP concentrations in RA patients (r = 0.551, P < 0.001). The significant associations were observed between RF seropositivity and morning stiffness (P < 0.001) and RF and ACCP seropositivity (P < 0.001) in RA patients. The correlations of both the autoantibodies, RF and ACCP, with inflammatory markers, namely CRP and ESR, were found to be very low. CONCLUSIONS: Significantly increased serum levels of RF and ACCP in RA patients have been associated with an increased risk of developing RA. The strong association between the autoantibodies may influence early disease progression and pathogenesis.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343962","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}
N. Saxena, S. Hugar, Pooja K Dialani, N. Kohli, Shweta Kajjari, Niraj S. Gokhale
{"title":"Comparative evaluation of postoperative pain after single sitting pulpectomy using hand and rotary instrumentation in primary molars of children – A randomized control study","authors":"N. Saxena, S. Hugar, Pooja K Dialani, N. Kohli, Shweta Kajjari, Niraj S. Gokhale","doi":"10.4103/kleuhsj.kleuhsj_6_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_6_22","url":null,"abstract":"AIM: The aim of the study is to evaluate and compare postoperative pain after single sitting pulpectomy using hand and rotary instrumentation in the primary molars of children. MATERIALS AND METHODS: Sixty children of age 4–8 years were selected using standard sample size formula for the single sitting pulpectomy after fulfilling inclusion and exclusion criteria and all participants were equally divided into two groups. Single sitting pulpectomy procedure was carried out in both groups. In the control group, K files and in the experimental group Pro AF baby gold pediatric rotary files were used, followed by obturation with zinc oxide-eugenol cement. Evaluation of postoperative pain was done using the modified visual analog scale at 24 h, 48 h, and 72 h. Furthermore, an evaluation of instrumentation time and quality of obturation was done. The patient is recalled after 7 days for the placement of stainless steel crown. RESULTS: The results showed no statistically significant difference in the postoperative pain after single sitting pulpectomy using hand and rotary instrumentation in the primary molars of children. There was no significant difference with the quality of obturation in both the study groups. However, a significant difference has been observed in the instrumentation time while using the rotary method of instrumentation as compared to hand instrumentation with independent t-test, t = 19.797 and P = 0.001. CONCLUSION: Among both the materials there was no significant difference found in postoperative pain and quality of obturation after single sitting pulpectomy in children. However, lesser instrumentation time was taken by rotary instrumentation as compared to conventional K file during single sitting pulpectomy in children.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345290","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}
Sadashiva Hegde, Jang Prasad, Rajeshwari Biradar, Alex M. Carvalho
{"title":"Low birthweight and its associated factors in India: A comparative study of national family health survey from the 4th and 5th rounds","authors":"Sadashiva Hegde, Jang Prasad, Rajeshwari Biradar, Alex M. Carvalho","doi":"10.4103/kleuhsj.kleuhsj_440_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_440_23","url":null,"abstract":"BACKGROUND: A serious global public health issue is low birth weight. OBJECTIVE: This study used information from NFHS rounds 4 and 5 to gauge the shift in predominance of lower birth weight difference between the 2 rounds. MATERIALS AND METHODS: Surveys on National Family Health from 2015–2016 (NFHS 4) and 2019–2021 (NFHS 5) were utilized to compile the data. This sample contained 2,09,266 under-5 children from NFHS-5 and 1,93,345 under-5 children from NFHS-4. Both bivariate and multivariate approaches were used for analysis. RESULT: In India, the prevalence of LBW was marginally reduced from 17.6% to 17.4% although it was not substantial. In comparison to male children, the likelihood of LBW is greater in female children (OR: 1.22; CI: 1.19-1.26 and OR:1.22, CI: 1.19-1.26), whose mothers are underweight (OR: 1.29; CI: 1.25-1.34 and OR: 1.27; CI: 1.22-1.31), and in children whose mothers are under 20 years (OR: 1.15; CI: 1.09-1.22 and OR: 1.13; CI:1.06-1.19). First-born children (18.6% to 18.2%), mothers who do not smoke (17.9% to 17.5%), and those from the North (19.8% to 18.2%) and the South (16.8% to 15.8%) experienced a drop in the prevalence of LBW. CONCLUSION: There was no discernible difference between the average rate of low birth weight. To address the high frequency of LBW children, programmers, and policies will need to be developed. This research adds significant knowledge to the body of knowledge of the elements that affect LBW and are most closely tied to the mother.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346061","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":"Knowledge regarding premenstrual syndrome among adolescent school girls in a view to develop an information booklet","authors":"Akshata K. Pujari, Smeeta Revankar","doi":"10.4103/kleuhsj.kleuhsj_590_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_590_22","url":null,"abstract":"BACKGROUND: Premenstrual syndrome (PMS) is a combination of physical, psychological, emotional, and mood disturbances that occurs after a women's ovulation. Worldwide, PMS affects 47.8% of the reproductive age group girls. The highest prevalence is found in developed countries. AIMS AND OBJECTIVES: The objectives of the study were to assess the level of knowledge regarding PMS among adolescent girls, to determine the association between the level of knowledge with selected demographic variables, and to develop and validate information booklet. MATERIALS AND METHODS: Quantitative approach and descriptive research design were used. One hundred and seventy-one adolescent girls were selected using nonprobability convenient sampling techniques from selected schools of Navi Mumbai. The structured knowledge questionnaire was used to collect the data. Data obtained were tabulated and analyzed in terms of objectives of the study using descriptive and inferential statistics. RESULTS: Major findings indicated that adolescent girls had average (56.5%) and good (37.1%) knowledge regarding PMS. The area of introduction to menstruation displayed the maximum mean percentage, whereas the least mean percentage was seen in the area of introduction and meaning of PMS. There was no association found between the level of knowledge with age, type of family, information on PMS, and family history of PMS, whereas the association was found with age of onset of PMS and monthly family income. The content of information booklet was validated by the Content Validity Index (CVI) calculation. The CVI score of the booklet was 0.94. CONCLUSION: Findings revealed that there was necessity for developing an information booklet to improve the knowledge regarding PMS among adolescent girls in selected schools of Navi Mumbai.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343699","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":"Hard tick in female external genitalia: A rare site of tick bite","authors":"R. Rajalakshmi, S. Deivam, RS Seethalakshmi","doi":"10.4103/kleuhsj.kleuhsj_167_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_167_23","url":null,"abstract":"Ticks are principal vectors for the transmission of numerous arthropod-borne infections like Lyme disease, human granulocytic anaplasmosis, babesiosis, viral encephalitis, Borrelia, and rickettsial infections. Rarely, tick infestation of lower eyelid has been reported. So far, there has been no case report about tick infestation in genitalia. Hence, we report this rare case entity. A 55-year-old married postmenopausal female reported to the skin OP with the complaints of itching over external genitalia for 3 days. Local examination of the external genitalia initially revealed a hyperpigmented papule over the left labium majus. However, on careful examination, we could see an alive insect burying its head into the skin, and body protruding out with moving legs among the pubic hairs over left labium. At the base of attachment of the insect, there was a small indurated swelling. The tick was carefully removed intact with plain forceps without crushing. After removal, the intact tick was confirmed by the entomologist, as a hard tick of Ixodidae family. Hard tick infestation in animals is common. As hard tick infestation is very rare in covered sites that too in external genitalia, we report this case.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344023","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":"Management of cervical radiculopathy: Current systematic reviews","authors":"J. Rissardo, Ana Letícia Fornari Caprara","doi":"10.4103/kleuhsj.kleuhsj_368_23","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_368_23","url":null,"abstract":"","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345316","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}