Shivangi Sharma, M. Rani, S. Jain, Lokendra Sharma
{"title":"Effect of pedometer-based walking on depression, anxiety, and insomnia among medical students in a government medical college","authors":"Shivangi Sharma, M. Rani, S. Jain, Lokendra Sharma","doi":"10.4103/jmgims.jmgims_19_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_19_21","url":null,"abstract":"Context: Pedometer is a popular tool to measure physical activity and it is easy to use. Objectives: The impact of pedometer-based walking on insomnia, anxiety, and depression among medical students was evaluated in this study. Methods: A total of 120 2nd-year MBBS students were randomly assigned to two groups (n = 60 in each group). Anxiety, insomnia, and depression levels were assessed using Beck's depression inventory, Beck's anxiety inventory, and Likert sleep scale questionnaire at different time durations. Data were analyzed using the independent t-test, Chi-square, and repeated measures tests. Results: We noticed 22.1% reduction in depression score in the intervention group (P = 0.009). Anxiety score was reduced to 19% among the intervention group students (P = 0.03). Sleep quality improved in students of the intervention group as compared to the control group (P < 0.001). Conclusion: A walking training programme can be considered to manage depression, anxiety, and insomnia in medical students.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":"112 - 117"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42119807","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}
S. Saxena, Sonal Saran, Swarnava Tarafdar, Tripti Prajapati
{"title":"“Pseudo-polka dot” and “pseudo-corduroy” signs in osteoporotic spine","authors":"S. Saxena, Sonal Saran, Swarnava Tarafdar, Tripti Prajapati","doi":"10.4103/jmgims.jmgims_85_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_85_21","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":"138 - 139"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47996344","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":"Tuberculosis notification: Facilitators and barriers among private practitioners in Trichy, South India","authors":"P. Thangaraj, K. Hemalatha","doi":"10.4103/jmgims.jmgims_43_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_43_21","url":null,"abstract":"Context: The framework for tuberculosis (TB) notification is one of the components of the World Health Organization's End TB strategy. Notification is essential for estimating the true burden of TB and its control in community which is currently lacking in the private health sector. Aims: The objectives are to identify awareness, willingness, barriers, and preferred methods of TB notification among private practitioners (PPs) in Trichy, South India. Methods: A descriptive cross-sectional study was conducted among 152 doctors working in the private sector and having at least 1 year of clinical experience using nonprobability sampling. A semi-structured, pretested questionnaire was used to obtain details about the general profile, awareness, and willingness regarding TB notification, as well as factors that facilitate and hinder it. Results: Among PPs, 90.7% referred TB cases/suspects to other health facilities and 71.7% were aware that TB notification is mandatory. Only 52.6% and 38.2% were ready to provide the patients' Aadhaar number and bank account details respectively during notification. The most common barriers for notification were: not being aware about the notification procedure (50.7%), lack of time (32.2%), process being tedious (29.6%) and difficulties in getting information from patients (25.7%). Mobile SMS/App/call (74.3%) were preferred by PPs over notification through online (32.2%) and government health staff (26.3%). Conclusions: Although three-fourth of the practitioners were aware and willing to notify TB, more than half of them were not aware about the notification procedure. Improving the awareness on the techniques for notification could motivate PPs to notify TB.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":"81 - 85"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47037529","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":"Glandular odontogenic cyst: A case report of an unusual lesion","authors":"Nandhini Gunasekaran, R. Krishnan, R. Krishnan","doi":"10.4103/jmgims.jmgims_133_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_133_20","url":null,"abstract":"Glandular odontogenic cyst (GOC) is a rare cyst occurring in the jaw bone having an uncertain and aggressive behavior with high recurrence rate. The diagnosis of this lesion is trying as it can be confused with other jaw cysts and malignant lesions. Treatment methods vary from conservative surgical treatment to jaw resection. This article presents a case of GOC mimicking radiographically as a lateral periodontal cyst.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":"129 - 131"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42822720","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":"Treatment failure in malaria: Causes and complexities","authors":"Arvind Nath","doi":"10.4103/jmgims.jmgims_94_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_94_21","url":null,"abstract":"Treatment failure in malaria is a major dilemma that health-care workers face throughout the country. True drug resistance is one of the causes after ruling out compliance and drug quality issues; the other causes being re-infection with a new strain of the parasite during the treatment period or, in the case of Plasmodium vivax, the release of hypnozoites from the liver. Since it is difficult, in the field, to identify the cause as being due to re-infection with a new strain of the parasite during the treatment period or, in the case of P. vivax, the release of hypnozoites from the liver, providing antimalarials to overcome drug resistance is the mainstay of therapy.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"26 1","pages":"122 - 123"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41582803","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":"Simultaneous bilateral cochlear implantation in a case of waardenburg syndrome – A case report and review of literature","authors":"KN Arif, J. Passey, M. Ali, Taorem Medhabati Devi","doi":"10.4103/jmgims.jmgims_26_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_26_20","url":null,"abstract":"We report a case of Waardenburg Syndrome (WS) who underwent simultaneous bilateral cochlear implantation and the evolution of auditory performance over a 5 year follow-up. Examination revealed a white forelock with iris heterochromia and confluent eyebrows (synophoris). Audiometric evaluation revealed bilateral profound sensorineural hearing loss. High resolution tomography of temporal bone showed normal inner ear anatomy and subsequently child underwent bilateral cochlear implantation which was followed by regular postoperative rehabilitation and speech therapy.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70803563","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":"COVID-19 vaccination in India – From hesitancy to shortage!","authors":"R. Narang, P. Deshmukh, V. Jain","doi":"10.4103/jmgims.jmgims_46_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_46_21","url":null,"abstract":"","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70803714","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}
Neena Jain, Kavita Jain, Harshita Prajapat, S. Sethi, Veena Patodi, A. Khare
{"title":"Intrathecal isobaric 1% 2-chloroprocaine versus hyperbaric 0.5% bupivacaine in parturients undergoing lower segment cesarean section: A randomized controlled trial","authors":"Neena Jain, Kavita Jain, Harshita Prajapat, S. Sethi, Veena Patodi, A. Khare","doi":"10.4103/jmgims.jmgims_94_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_94_20","url":null,"abstract":"Background: Cesarean sections are usually done under spinal anesthesia (SA) using local anesthetics. This study is aimed to compare the efficacy of intrathecal isobaric 1% 2-chloroprocaine (CP) and hyperbaric 0.5% bupivacaine in parturients undergoing lower segment cesarean section (LSCS). Materials and Methods: One hundred parturients aged 18–35 years with the American Society of Anesthesiologists physical status I or II undergoing LSCS were randomly allocated into two groups. Group A (n = 50) received intrathecal isobaric 1% 2-CP 5 ml (50 mg), while Group B (n = 50) received intrathecal hyperbaric 0.5% bupivacaine 2 ml (10 mg) in SA. Onset and duration of both sensory and motor block, highest dermatomal level achieved, time to achieve highest dermatomal level, two-segment regression, duration of analgesia, hemodynamic changes, and side effects were noted. Results: The onset of sensory blockade was significantly faster in Group A (1.66 ± 0.49 min) compared to Group B (3.00 ± 0.58 min) (P 0.05). Conclusion: Intrathecal 1% 2-CP (50 mg) appears to be a safe and effective alternative, preferably in elective and uncomplicated LSCS, as it has faster onset and predictable sensory block height with shorter but adequate duration of motor block and analgesia.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70804013","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}
S. Banait, Preetam Salunkhe, Supratim Roy, J. Jain
{"title":"Palliation in coronavirus Disease-19: Need of the hour","authors":"S. Banait, Preetam Salunkhe, Supratim Roy, J. Jain","doi":"10.4103/jmgims.jmgims_13_21","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_13_21","url":null,"abstract":"The current coronavirus disease-19 (COVID-19) pandemic has triggered intense suffering by causing physical illness, social distancing, stress, anxiety, financial concerns, social variability, and death. The imbalance between the increasing number of cases and the availability of infrastructure, trained personnel, oxygen, and drugs, are further adding to the crisis. The response to the pandemic requires mitigation of suffering in forms. One of the needs of the hour is providing effective and safe palliative care and end-of-life care to mitigate suffering. A vast majority of COVID patients are dying with an unmet need of palliation therapy. Palliative care is an approach that improves the quality of life of patients through the relief of suffering, so this is one of the fundamentals of COVID-19 treatment beyond the use of ventilators. The purpose of this article is to review the recent guidelines of palliative care in COVID-19 patients, to help healthcare workers know how to apply the principles of palliative care in the pandemic scenario, to foster good end-of-life care. India is currently fighting to ebb the second wave of the pandemic, and this article will provide inputs for the government to make triage decisions and policies in view of the paucity of resources. Various aspects of palliation in COVID-19, including recent guidelines, planning, triage, management, communication skills, and necessary decision-making for the health care worker and end-of-life care in the Indian scenario are highlighted in this review.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70803531","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":"Causes of mortality and morbidity among neonates admitted to the neonatal intensive care unit in Ladakh, India","authors":"Mohd Murtaza, Md Niamat Ali, I. Khan, M. Zargar","doi":"10.4103/jmgims.jmgims_14_20","DOIUrl":"https://doi.org/10.4103/jmgims.jmgims_14_20","url":null,"abstract":"Background: The first month of life is the most important and hazardous as neonates are prone to a number of infections and obstacles. This hospital-based prospective study was conducted for two years from June 1, 2017, to May 31, 2019, in the neonatal intensive care unit (NICU) of District Hospital, Kargil-Ladakh. Aims and Objective: The aim of this study is to analyze the causes of morbidity and mortality among neonates in the tribal population of Ladakh region. The final diagnosis of the patients was made mainly on clinical grounds by pediatricians with the help of available necessary laboratory investigations. Results: During the period of 2 years, a total of 686 neonates were admitted to the NICU of district hospital Kargil. Out of the 686 neonates, 57.1% were male and 42.8% female with a ratio of 1.34:1. Of the admitted neonates, 68.8% were inborn and 31.1% were outborn babies. Of them, 628 (91.5%) neonates were discharged, two left against medical advice, four were referred to a specialty hospital in Kashmir valley, and 52 (7.5%) died. Of the 52 expired neonates, 27 (51.9%) were male and 25 (48%) were female. Thirty-seven were inborn and delivered at a district hospital, while 15 were born outside the district hospital. The major causes of morbidity among neonates in NICU were preterm with low birth weight (36.5%), neonatal sepsis (19.2%), meconium aspiration syndrome (19.2%), birth asphyxia (13.4%), and intrauterine growth restriction (5.7%). Conclusion: We found prematurity, neonatal sepsis, meconium aspiration syndrome, and asphyxia to be the common causes of mortality in neonates. Most of these problems can be prevented by improving the quality of the concerned health units, improved maternal care, timely intervention, and timely referral to tertiary care hospitals in high-risk situations.","PeriodicalId":32484,"journal":{"name":"Journal of Mahatma Gandhi Institute of Medical Sciences","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70803779","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}