The National medical journal of India最新文献

Scrub typhus presenting as mitral valve infective endocarditis. 恙虫病表现为二尖瓣感染性心内膜炎。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_295_21

Sujata Devi, Debasish Das, Debasis Acharya, Tutan Das, Sashikant Singh, Jaideep DAS Gupta, Subhas Pramanik

引用次数: 0

Scrub typhus presenting with massive splenomegaly and lobar pneumonia. 恙虫病表现为巨大脾肿大和大叶性肺炎。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_1001_2021

Jonnalagadda Vihari, Adurty Aditya, A Vamsi Krishna, Thammineni Roja, Manasa Elika, Uppu Pooja

引用次数: 0

Evaluation of 3-year tuberculosis external quality assessment results of public health laboratories. 评估公共卫生实验室 3 年结核病外部质量评估结果。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_287_2022

Edibe Nurzen Namli Bozkurt, S Nilay Uçarman, Ahmet Arslantürk, Alper Saribas, Derya Altun, Hamit Özsaraç, Hulya Simsek

{"title":"Evaluation of 3-year tuberculosis external quality assessment results of public health laboratories.","authors":"Edibe Nurzen Namli Bozkurt, S Nilay Uçarman, Ahmet Arslantürk, Alper Saribas, Derya Altun, Hamit Özsaraç, Hulya Simsek","doi":"10.25259/NMJI_287_2022","DOIUrl":"10.25259/NMJI_287_2022","url":null,"abstract":"Background We aimed to evaluate the 3-year participation status of tuberculosis (TB) laboratories in public health laboratories (PHL) tuberculosis external quality assessment (EQA) and EQA results. Method During 2018-2020, PHLs participated in the EQA programme organized annually by the National Tuberculosis Reference Laboratory (NTRL). Five kinds of EQA samples were sent to the participating laboratories on three parameters, including microscopy, culture and phenotypic first-line drug susceptibility testing and they were asked to perform according to the standard protocol. The results were taken over by the Tuberculosis Laboratories Surveillance Network (TULSA) web system and analysed. Results A total of 24 PHLs participated in the EQA in 2018; 30 in 2019 and 23 in 2020. In terms of sensitivity, specificity, accuracy and reproducibility in microscopy, respectively, in 2018, 20 of the laboratories were 100%, 4 of them 80%, and in culture 16 of them were 100% and 2 of them 80%; in 2019, 28 of them were 100%, 2 of them 80%, and in culture 11 of them were 100%, 6 of them 80%, 1 of them 60%; in 2020, 20 of them were 100%, 3 of them 80%, and in culture 13 of them were 100% and 3 of them 80%. Conclusion It is beneficial for laboratories working on TB to participate in EQA in terms of evaluating the accuracy and reliability of the method used.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515961","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}

引用次数: 0

G>A transition at 376 position of the glucose-6-phosphate dehydrogenase (G6PD) gene plays a key role in causing G6PD deficiency in the Siddi population of Karnataka. 葡萄糖-6-磷酸脱氢酶（G6PD）基因 376 位上的 G>A 转换是导致卡纳塔克邦锡迪人 G6PD 缺乏症的关键因素。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_304_2023

Smita Hegde, Rajat Hegde, Madhuri D Biradar, Suyamindra S Kulkarni, Pramod B Gai

引用次数: 0

Malignant transformation in giant sebaceous cysts: Uncommon but not impossible. 巨大皮脂腺囊肿的恶变：不常见，但并非不可能。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_550_2024

Dinesh Kumar, Md Sahil Reza, Reyaz Ansari, Utpal De

引用次数: 0

Palbociclib: A novel and effective therapy for advanced liposarcoma. Palbociclib：治疗晚期脂肪肉瘤的新型有效疗法

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_756_2024

Fen Saj, Deepak Dabkara, Siddharth Turkar, Bhawna Sirohi

引用次数: 0

Regional patterns in minimum diet diversity failure and associated factors among children aged 6-23 months in India. 印度 6-23 个月儿童最低膳食多样性不合格的地区模式及相关因素。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_241_2023

Gaurav Gunnal, Dhruvi Bagaria, Sudeshna Roy

{"title":"Regional patterns in minimum diet diversity failure and associated factors among children aged 6-23 months in India.","authors":"Gaurav Gunnal, Dhruvi Bagaria, Sudeshna Roy","doi":"10.25259/NMJI_241_2023","DOIUrl":"10.25259/NMJI_241_2023","url":null,"abstract":"Background About 35% of the global child deaths and 11% of the total disease burden are due to inadequate nutrition. While in India, 1 in 3 children are underweight and stunted, and 1 in 5 children are wasted. Methods Using multivariate and descriptive statistical analysis, we examined the prevalence, determinants of minimum diet diversity failure (MDDF) and trends of MDDF across different regions of India among children aged 6-23 months. Dietary pattern in 8 food groups was also examined using the National Family and Health Survey (NFHS) data from 2005-06 to 2019-21. Results Overall, MDDF in India has decreased from 87.4% (2005-06) to 77.1% (2019-21). The central region (84.6%) reported the highest prevalence of MDDF in 2019-21. Children of illiterate and rural residing mothers with no mass media exposure, children of the first birth order and children not exposed to counselling and health check-ups at Anganwadi/Integrated Child Development Services (ICDS) centres, children with low birth weight and anaemic, and who belonged to a large family had greater likelihood for MDDF. Conclusion To tackle the high prevalence of MDDF, a holistic action is needed from the government, i.e. improved public distribution system (PDS), intensified Integrated Child Development Scheme (ICDS) programme, use of social media, and nutrition counselling through local self-governance.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515881","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}

引用次数: 0

India's role in the odyssey of medical training in South Africa. 印度在南非医学培训奥德赛中的作用。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_1264_2023

Bhugwan Singh, Juhi Priyam Singh, Sumayyah Ebrahim, Namasha Mariemuthoo Naidoo

引用次数: 0

Mid-level healthcare providers: Making a fresh case for modern Indian healthcare. 中级医疗保健提供者：为印度现代医疗保健提供新的案例。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_694_2023

Soham Bhaduri

{"title":"Mid-level healthcare providers: Making a fresh case for modern Indian healthcare.","authors":"Soham Bhaduri","doi":"10.25259/NMJI_694_2023","DOIUrl":"10.25259/NMJI_694_2023","url":null,"abstract":"To compensate for physician shortage, many countries around the world have introduced a cadre of mid-level healthcare providers (MLHPs) into their health systems to shoulder many of the conventional responsibilities of a physician. Besides backing their clinical competence and service quality, evidence and experience on MLHPs also supports their lower turnover and higher rural retention rates. In India, mainstreaming of MLHPs has time and again been met with resistance from organized medicine. We explore a fresh case for MLHPs in India in view of some recent developments and the probable future contours that Indian healthcare is likely to assume. Aided by global precedents, we broaden the rationale for mainstreaming MLHPs, address some common misunderstandings, and describe the conducive emergent legal and policy landscape. We also explain how a possible reorganization of Indian healthcare, highly likely under expanded publicly financed health insurance and value-based healthcare regimes, can warrant greater health workforce differentiation and an expanded role of MLHPs in mainstream healthcare delivery. We also touch upon important political economy considerations, including the need for navigating organized medical opposition, involving medical stakeholders in the MLHP mainstreaming process, autonomous regulation of MLHP professions, streamlining MLHP competencies, and inclusive health financing systems.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515879","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}

引用次数: 0

Learning medical sociology through an innovative 'Elective study module' integrating humanities with medicine for undergraduate students of a medical college in Bengaluru, India. 印度班加罗尔一所医学院的本科生通过创新的 "选修学习模块 "学习医学社会学，将人文学科与医学相结合。

The National medical journal of India Pub Date : 2024-07-01 DOI: 10.25259/NMJI_893_2023

Nisha Gomes, Vidya Harikumar, James Joseph, Aparna Mohapatra, Amal Rai, Siddharth Senthil, Namitha Varughese, Prem Mony

{"title":"Learning medical sociology through an innovative 'Elective study module' integrating humanities with medicine for undergraduate students of a medical college in Bengaluru, India.","authors":"Nisha Gomes, Vidya Harikumar, James Joseph, Aparna Mohapatra, Amal Rai, Siddharth Senthil, Namitha Varughese, Prem Mony","doi":"10.25259/NMJI_893_2023","DOIUrl":"10.25259/NMJI_893_2023","url":null,"abstract":"Background The newly introduced 'Elective programme', a voluntary special study module in the final phase of the undergraduate medical curriculum, offers scope for new immersive, self-directed learning opportunities. We describe a programme of study for learning 'medical sociology' through the innovative use of humanities in medicine. Methods Our elective module, called 'Community Health and Rock Music' (CHaRM), was a 2-week programme, merging the curricular subject of community health with 'rock music' as an exposure to the 'counter-culture' outside of the medical world. The half-day sessions consisted of: (i) watching/listening to a rock song-video without reading its lyrics; (ii) listening to the same song again but with lyrics; (iii) undertaking an emotionally stimulating activity (watching a movie, making a site-visit, etc.); and (iv) debriefing, to identify/discuss the underlying social determinants of health and their relevance in the grooming of a socially aware medical student. Formative assessment was intended to gauge levels of expression of the affective domain (attitude/emotions). Results Seven of 143 students volunteered for this programme. Key learnings were a clear appreciation of the societal determinants of health (such as deprivation/discrimination/social structures); multi-level causation of diseases; social issues not addressed in traditional medical curriculum; personal growth; teamwork; and the role of empathy in medical practice. Additional learning was the exposure to the 'counter-culture of arts'. All 7 student assessments 'met expectation', with 4 of them 'exceeding expectation'. Conclusion An 'elective programme' combining humanities with medicine is potentially an innovative, student-centric and replicable model of learning that impacts the affective domain critical for doctors-in-training.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515966","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}

引用次数: 0