{"title":"Assessment of psychological variables amongst Indian medical professionals: A cross-sectional study","authors":"Santosh Kumar, Preeti Kodancha, Aryan Dwivedi, AnkithAppalla Rajesh Babu, Suprakash Chaudhury, J. Prakash","doi":"10.4103/mjdrdypu.mjdrdypu_201_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_201_22","url":null,"abstract":"Background: The doctor–patient relationship is of critical importance to patient satisfaction and is impacted by various doctor-related factors. Aim: To assess the levels of emotional intelligence (EI), empathy, everyday/perceived discrimination and verbal aggression amongst medical professionals and medical students, and to understand the interrelations between these variables and their differences across groups. Materials and Methods: This cross-sectional study included convenience sampling of 191 medical students, and 94 medical professionals (residents and attending doctors). They were administered the Wong and Law emotional intelligence scale, Toronto empathy questionnaire, everyday discrimination scale and verbal aggression sub-scale from the Buss–Perry aggression scale. Data was analysed using Statistical Package for Social Sciences 20. Results: EI was significantly greater amongst professionals as compared to students, and positively correlated to years of experience in the medical profession. Everyday discrimination increased with years of experience in the medical fraternity and was also negatively correlated with the 'emotion regulation' component of EI. Female participants had higher levels of empathy and lower levels of everyday discrimination. Conclusion: In Indian medical professionals the levels of EI increase with years of experience and are higher for medical professionals than students. The levels of perceived discrimination increase with years of experience and were greater for medical professionals and male doctors. Perceived discrimination and verbal aggression showed a negative association with empathy and EI. Understanding the factors that impact the doctor–patient relationship, as well as the doctor's personal experience in the medical fraternity, are crucial to improve patient satisfaction, as well as to improve the well-being of the medical professionals.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"281 - 289"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70828982","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}
Santosh Bokre, Sangita Deshpande, Anil Waghmare, A. Shete
{"title":"Evaluation of spiro metric parameters in traffic police men in a Metropolitan City","authors":"Santosh Bokre, Sangita Deshpande, Anil Waghmare, A. Shete","doi":"10.4103/mjdrdypu.mjdrdypu_133_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_133_22","url":null,"abstract":"Introduction: Air pollution is a major environment related health threat. Air quality crisis in Indian cities is mainly due to emission from vehicles which include various particles and gases from vehicular emission. Traffic policemen who work in the busy traffic signal areas for years together are constantly exposed to this pollutant making them susceptible to its adverse effects, like respiratory and cardiovascular diseases. Objectives: To compare different parameters of pulmonary function test (PFT) between non-smoker controls and non-smoker traffic policemen, and also between smoker controls and smoker traffic policemen. Methods: This study was carried out in Department of Physiology among the government servants not exposed to traffic pollution and traffic policemen exposed to vehicular pollution. PFT was conducted in both these groups and parameters like vital capacity (VC), FEV1-force expiratory volume at the end of 1 second, ratio of forced expiratory volume at first second to forced vital capacity (FEV1/FVC%), mid-expiratory flow rate (FEV25-75%) and peak expiratory flow rate (PEFR) were measured and compared between these two groups. Results: In the present study, traffic policemen (non smoker) showed a statistically significant reduction in VC, FEV1, FEV1/FVC%, FEV25-75, and PEFR compared to controls (non smoker) whereas traffic policemen (smoker) showed a statistically significant reduction in VC, FEV1, FEV1/FVC%, FEV25-75%, and PEFR compared to controls (smoker). Conclusion: Significant reduction in all the parameters in traffic policemen compared to control group proves that preventive measures like pollution masks, regular breathing exercises, etc., have to be implemented at the workplace to reduce health hazards of continuous exposure to traffic dust.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"16 1","pages":"178 - 182"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325412","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":"RBC indices and morphological pattern of anemia in geriatric population: A cross-sectional study in Eastern India","authors":"M. Talukdar, Aparajita Samaddar, S. Lahiri","doi":"10.4103/mjdrdypu.mjdrdypu_101_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_101_22","url":null,"abstract":"Background: Geriatric anemia is one of the neglected and undiagnosed health problems throughout the world leading to increased morbidity and mortality among this vulnerable age group. Anemia in elderly is often an indicator of an underlying co-morbid condition. Morphological pattern of anemia may reflect the underlying etiology and thus directs the appropriate way to management of the condition. Aims: To evaluate the severity and morphological pattern of anemia in geriatric age groups. Materials and Methods: Elderly individuals aged 60 years or older of either sex with Hb level <12 gm/dl in women and <13 gm/dl in males were included in this study as geriatric anemic population. Blood samples were analyzed for Hb, hematocrit (Hct), Mean corpuscular volume (MCV), Mean corpuscular haemoglobin (MCH), Mean corpuscular haemoglobin concentration (MCHC) and Red cell distribution width (RDW-CV). Anemia was graded as mild, moderate and severe according to WHO criteria. Morphological classification was done based on RBC indices and peripheral blood smear examination. Statistical analysis was done using SPSS software. Results: Total 277 geriatric anemic subjects were included in this study. Female to male ratio was 1.9:1. Most of the participants (60.29%) were in the age group of 60-69 years. Majority had mild anemia (48.02%). Normocytic-normochromic was the most predominant morphological subtype (74.73%). Mean Hb, MCH and MCHC were found to be significantly lower in geriatric females compared to males (P < 0.05).Conclusion: Normocytic-normochromic anemia of mild degree was the most common type of anemia among geriatric population. Evaluation of morphological pattern of anemia may help in appropriate management of underlying condition.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"6 1","pages":"189 - 194"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328694","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}
A. Yadav, Y. Singh, A. Bahuguna, S. Mahajan, A. Sood
{"title":"Clinicomycological profile of cutaneous dermatophytosis: A cross-sectional study from western India","authors":"A. Yadav, Y. Singh, A. Bahuguna, S. Mahajan, A. Sood","doi":"10.4103/mjdrdypu.mjdrdypu_209_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_209_22","url":null,"abstract":"Introduction: The prevalence of cutaneous mycoses has been on the rise worldwide with an increased incidence of recurrent and recalcitrant infections. This study was conducted to assess the clinical patterns and etiological agents of dermatophytosis, at a tertiary care hospital in western India. Material and Method: One hundred clinically diagnosed cases of dermatophytosis attending the OPD of a tertiary care hospital were included in this cross-sectional study. Thorough history taking and detailed clinical examination were done for each patient. For studying the mycological profile, direct microscopy for fungal elements in KOH and fungal culture on Sabouraud dextrose agar (SDA) was done for each patient. The growth on SDA plates was further mounted on lactophenol cotton blue mounts for species identification. Results: Our study found a male preponderance, and the majority of infections (36%) were in the 21–30 years age group. The most common clinical pattern was the mixed type of infections followed by T. corporis. Direct microscopy for fungal elements was positive in 71% but the culture positivity was only 35%. The most common species isolated in our study was T. mentagrophytes (62.8%). Conclusion: The present study highlights the bearing of factors like socioeconomic status and occupation on the clinical profile of dermatophytosis and reveals a changing trend in the etiological agent of dermatophyte species in this part of western India.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"235 - 240"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70828544","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":"Metabolic Syndrome among urban slum population of Pune City: A pilot study","authors":"R. Patil, J. Gothankar","doi":"10.4103/mjdrdypu.mjdrdypu_16_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_16_22","url":null,"abstract":"Background: The metabolic syndrome (MetS) is a multiplex risk factor for atherosclerotic cardiovascular diseases. It is proven that genetic and certain modifiable factors are responsible for the syndrome. Objectives: To assess the prevalence of MetS in the high-risk urban slum population of Pune city and its association with various risk factors. Materials and Methods: A cross-sectional study was conducted among high-risk people for type 2 diabetes mellitus in the field practice area of the Urban Health Training Centre of a private medical college, Pune, India. Variables like age, waist circumference, and blood pressure (BP) and fasting parameters like triglyceride (TG), high-density lipoprotein (HDL) cholesterol, and blood glucose after 12 h overnight fast were tested. Results: Prevalence of MetS was 26.6%. It was maximum in the higher age group (53%), housewives (36.7%), subjects with secondary education (36.7%), and in the socioeconomic lower class (36%). Abdominal obesity, high TGs, low HDL, high BP, and raised blood glucose significantly contributed to an increased risk of MetS. Conclusion: The study shows that identification of even a single component of MetS should be considered and accordingly subject should be counseled to prevent further progression of the disease.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"195 - 199"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70828175","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 study of the level of awareness about tuberculosis among employees of a tertiary care hospital","authors":"Shivangi Saxena, R. Kunwar, A. Mourya","doi":"10.4103/mjdrdypu.mjdrdypu_387_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_387_22","url":null,"abstract":"Background: Tuberculosis (TB) in India is a major public health problem. Government of India has committed to end TB by 2025 through its National Tuberculosis Elimination Programme. Awareness about tuberculosis especially among healthcare workers (HCWs) is considered crucial for the success of the program. Objective: The study aimed to assess TB awareness level among HCWs (other than the medical officers) and other employees. Methods: The study was carried out in a large city in Uttar Pradesh, India, from Jul 2021 to Dec 2021. Study population included all employees of the hospital except medical officers. The employees other than the HCWs provided the inbuilt comparison group. Data were collected using structured interviewer-administered questionnaires which included questions related to cause, mode of transmission, organ involvement, preventive, and treatment aspects of TB. Data were analyzed using STATA 17.0 statistical software. Results: Out of 244 study subjects, 128 (52.5%) were HCWs and 116 (47.5%) were other than HCWs. More than 80% of HCWs correctly knew that TB was a communicable disease that spread through air; most commonly affected lungs; was preventable as well as treatable; and the Govt. of India provided free of cost medicine to all TB patients. The overall awareness level among HCWs and Others was 74.5% and 66.0%, respectively. Compared to Others, HCWs were found more aware about 9 out of 10 aspects included in the questionnaire. The difference was found statistically significant in 4 out of 10 aspects. Conclusion: TB awareness among HCWs was found better than other hospital employees.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"248 - 252"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70830476","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":"Immediate effect of pranava pranayama on oxygen saturation and heart rate in healthy volunteers: A single-blinded, randomized controlled trial","authors":"A. Bhavanani, M. Ramanathan","doi":"10.4103/mjdrdypu.mjdrdypu_66_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_66_22","url":null,"abstract":"Introduction: Yoga is known to promote health and wellness in all. Pranava Pranayama is a useful sound based yogic breathing technique with reported benefits such as potentiating vagal tone. Subjects and Methods: This single blinded randomized self-controlled cross-over study was done with 58 participants. The immediate effect of Pranava Pranayama on saturation of oxygen in the blood (SpO2) and heart rate (HR) was determined before and after intervention using pulse oximeter. To avoid extraneous influences due to recording on different days, one half of the subjects were randomized to perform quiet sitting on day 1 while other half did Pranava Pranayama which was then reversed on day 2. Results: Intra group comparison showed significant changes (p < 0.001) in both SpO2 and HR following Pranava Pranayama whereas in the quiet sitting group, there was an insignificant fall in the SpO2 readings but HR was found significant (p < 0.001). Intergroup comparison showed significant differences between groups (p-0.032). Discussion: Cardiovascular changes following Pranava Pranayama may be as a result of audible chanting improving baroreflex sensitivity along with increased endogenous nitric oxide production. This promotes vasodilatation resulting in reduction of BP. The decrease in vascular resistance and an increase in capillary perfusion results in increased oxygen saturation with lesser demand on the heart. Conclusion: This study provides evidence that Pranava Pranayama is an effective technique in enhancing SpO2 and our findings may have therapeutic applications especially in the current pandemic situation.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"209 - 215"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70832224","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":"Effectiveness of multiple-choice questions (MCQS) discussion as a learning enhancer in conventional lecture class of undergraduate medical students","authors":"G. Nair, M. Feroze","doi":"10.4103/mjdrdypu.mjdrdypu_192_22","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_192_22","url":null,"abstract":"Context: Multiple Choice Questions (MCQs) are one of the commonly used assessment tools in the field of medical education. A few initiatives have been made to use MCQ tests during classes as a mode of test-enhanced learning. However, there is a lack of enough scientific information regarding the use of MCQs as a learning enhancer. Aims: The present study has been undertaken to analyze the effectiveness of MCQ discussion as a learning tool. Methodology: The study was conducted in a Government Medical College in Kerala among Phase 2 MBBS students. They were divided into study and control groups of 61 students each. Online lecture classes were conducted for both groups on six topics of Pathology. For the study group, an additional MCQ discussion was done towards the end of the lecture class. Post-test was conducted on day 1 and after 2 weeks. A questionnaire was given to assess the attitude of students. Scores obtained in the post-tests were used to test the significance. Results: There was a significant difference in the mean score obtained between control and study groups in the post-test conducted on the same day suggesting that the MCQ discussion conducted at the end of the lecture class has added benefit (P value = 0.04). There was no significant improvement in academic performance when an assessment was made after 2 weeks (P value = 0.59). More than 80% of students showed a positive perception of this method. Conclusion: MCQ supplementation towards the end of the didactic lecture class is an effective teaching-learning method. Students also express a very positive attitude towards it. MCQs can be considered not only as an assessment tool but as a learning enhancer also.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"183 - 188"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70828249","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":"Brief psychological intervention among treatment-seeking cancer patients: A randomized controlled trial","authors":"J. Joseph, R. Rani, R. Dhankhar","doi":"10.4103/mjdrdypu.mjdrdypu_319_21","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_319_21","url":null,"abstract":"Background: Cancer is one of the major leading causes of death, and psychological interventions are found to be helpful to reduce the distress related to the disease. The study investigated the effect of nurse-led brief psychological intervention among treatment-seeking clients with head and neck and breast cancer. Methods: This study is a randomized controlled trial, in which a total of 80 subjects were consecutively recruited using block randomization method and as per the sampling criteria. A trained nurse delivered a 30-min individual-based brief psychological intervention and the subjects in the control group received the usual hospital care. The outcome measures were changes in quality of life (QoL) and psychological distress based on the Hindi Version of Functional Assessment of Cancer Therapy-General and DASS-21 during a 1-month follow-up. Results: The mean age of the sample was 52.68 (standard deviation = 10). The study observed a significant improvement in the overall and separate domains of QoL (P < 0.01) and reduction of psychological distress (P < 0.01) in the intervention group as compared to the control group during the 1-month follow-up. Conclusion: The nurse-led brief psychological intervention may be an effective strategy for improving the QoL and reducing the psychological distress in treatment-seeking cancer individuals in this setting. Considering the short-term effect of this clinical intervention trial, more studies should be conducted in similar settings for an evidence base to advocate supportive nursing care practices in the routine oncology clinical setting.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"1 1","pages":"693 - 700"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70829569","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":"Assessment of attention, memory, and salivary brain-derived neurotrophic factor in chronic smokers: A cross-sectional observational study","authors":"A. Srividya, A. Kannan, C. Krithika, K. Aniyan","doi":"10.4103/mjdrdypu.mjdrdypu_651_21","DOIUrl":"https://doi.org/10.4103/mjdrdypu.mjdrdypu_651_21","url":null,"abstract":"Objective: Chronic smoking leads to cognitive impairments and affects the peripheral brain-derived neurotrophic factor (BDNF) levels. BDNF is responsible for synaptic plasticity and memory. The effect of chronic smoking on attention and salivary BDNF is yet to be explored. The purpose of the study is to find the assessment and comparison of attention and memory-span between chronic smokers and controls and also to study the effect of smoking on salivary BDNF level and compare this with that of controls. Materials and Methods: The present cross-sectional study was conducted in a dental college between March 2019 and October 2020. Participants took part in the computerized forward digit-span test (psychological experiment building language). Quantification of salivary BDNF from unstimulated saliva samples was done using the sandwich ELISA. Results: The results showed a significant decline in memory span (P < 0.05, Hedge's - g = −0.612) and correct responses (P < 0.05, Hedge's - g = −0.747) for the case group. There was an insignificant difference in salivary BDNF levels (P > 0.05, Hedge's - g = 0.007) between the two groups. Pearson's correlation showed a strong correlation between salivary BDNF and smoking severity (P < 0.05). Conclusion: The present study showed impaired attention and memory span among smokers. Salivary BDNF elucidated relation with smoking severity and physical dependence. The study indicates the important role of salivary BDNF to assess cognitive functioning.","PeriodicalId":18412,"journal":{"name":"Medical Journal of Dr. D.Y. Patil Vidyapeeth","volume":"50 1","pages":"750 - 755"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347108","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}