The National medical journal of India最新文献

Use of smokeless tobacco by patients with drug-sensitive pulmonary tuberculosis: The need for strengthening tuberculosis-tobacco collaborative in India. 药物敏感肺结核患者使用无烟烟草：印度加强结核病-烟草合作的必要性。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_183_2022

Antara Banik, Mihir P Rupani, Atulkumar V Trivedi, Jigna D Dave

{"title":"Use of smokeless tobacco by patients with drug-sensitive pulmonary tuberculosis: The need for strengthening tuberculosis-tobacco collaborative in India.","authors":"Antara Banik, Mihir P Rupani, Atulkumar V Trivedi, Jigna D Dave","doi":"10.25259/NMJI_183_2022","DOIUrl":"10.25259/NMJI_183_2022","url":null,"abstract":"Background A joint tuberculosis-tobacco collaborative was launched in India in 2017 to reduce the addictive habit of tobacco use among patients with tuberculosis (TB). We aimed to estimate the prevalence and predictors of smokeless tobacco use and its awareness among patients with pulmonary TB in Bhavnagar city, Gujarat, India. Methods We did a cross-sectional study among 258 randomly selected drug-sensitive pulmonary TB patients registered at the District TB Centre in Bhavnagar from April to October 2019. The Global Adult Tobacco Survey questionnaire was used for data collection. Multivariable logistic regression was used to determine the predictors of smokeless tobacco use. Results Among the 258 patients, 73% were male, 66% were married, 40% traveled for their occupation, 62% had a nuclear family, and 46% were illiterate. More than half (52%) the patients used smokeless tobacco: 44% were daily users and 8% were occasional users. On multivariable logistic regression, male gender (adjusted odds ratio [aOR]: 5 [95% confidence interval (CI) 2-11]), occupation requiring travel (aOR: 4 [95% CI: 2-7]), monthly income of ₹3001-6000 (aOR: 0.2 [95% CI: 0.1-0.6]), ₹9000-12 000 (aOR: 0.3 [95% CI: 0.1-0.9]) and above ₹12 000 (aOR: 0.3 [95% CI: 0.1-0.8]) were significant predictors of smokeless tobacco use. Almost all (98%) of the participants were aware of the harmful effects of smokeless tobacco on health. Conclusion More than half the patients with pulmonary TB used smokeless tobacco. The TB-tobacco collaborative framework needs to be strengthened with brief counselling interventions for patients with TB using smokeless tobacco for collateral benefits in the control of TB in India.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"138-143"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877773","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

Attitude of undergraduate medical students towards medical research: A cross-sectional study. 医科本科生对医学研究的态度：一项横断面研究。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_987_2021

Aruna Bholenath Patil

{"title":"Attitude of undergraduate medical students towards medical research: A cross-sectional study.","authors":"Aruna Bholenath Patil","doi":"10.25259/NMJI_987_2021","DOIUrl":"10.25259/NMJI_987_2021","url":null,"abstract":"Background Medical research is the backbone of advances in medical technology. To decrease the deficit in the physician- scientist ratio in developing countries, initiatives are being taken to inspire medical students to pursue research careers. Hence, it is necessary to understand the attitudes of undergraduate (UG) medical students towards medical research. Methods This cross-sectional survey included 241 UG medical students of the 2016-17 academic year from the 1st, 2nd and 3rd years of a teaching institute and a tertiary care hospital. A pretested, structured questionnaire containing 25 items was used to capture the various dimensions of attitudes towards medical research, such as the importance of research, the scientific rigour of medical research, perceived personal benefits and difficulties, and motivators for pursuing research as a medical student. Results Of the 241 students, 20 (8.3%) had undertaken research during medical school, and 144 (60%) had a positive attitude with strong agreement on the statement 'Research discovery is essential for clinical care'. In exploratory factor analysis, 5 attitudes towards research were obtained: (i) Instrumental motivated attitude, (ii) externally motivated or forced attitude, (iii) positive attitude, (iv) negative attitude and (v) seriousness towards research. Conclusion UG medical students had a positive attitude towards the idea that 'research is essential for clinical care' and showed interest in attending training in research methodology.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"156-162"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877725","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

Outcome of acute mesenteric ischaemia in patients with Covid-19 infection. Covid-19感染患者急性肠系膜缺血的结局。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_937_2022

Sunil Kasturi, Sanjay Kumar, Neetu Kumar, T M U Naveen, Sandesh Sharma, Vinod Narkhede, Suprabhat Giri

引用次数: 0

Re: Malla BSSM, Kattamreddy AR. A case for banning paraquat in India: A public health concern. Natl Med J India. 2024;37:270-1. 回复：Malla BSSM， Kattamreddy AR。印度禁止百草枯的案例：一个公共卫生问题。印度国家医学杂志。2024;37:270-1。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_572_2025

Josef Finsterer

引用次数: 0

Improving diagnosis and management of acute brain infections in low and middle-income countries. 改善低收入和中等收入国家急性脑感染的诊断和管理。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_701_2025

Anu Gupta

引用次数: 0

Drug-induced leukocytoclastic vasculitis with systemic involvement secondary to nitrofurantoin therapy. 呋喃妥因治疗继发于全身的药物性白细胞破裂性血管炎。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_717_21

Venkat Manolasya, M H Archana, P Prasanthi, Adam Sandeep Reddy, D T Katyarmal, A Surekha, Aruna K Prayaga, Alladi Mohan

{"title":"Drug-induced leukocytoclastic vasculitis with systemic involvement secondary to nitrofurantoin therapy.","authors":"Venkat Manolasya, M H Archana, P Prasanthi, Adam Sandeep Reddy, D T Katyarmal, A Surekha, Aruna K Prayaga, Alladi Mohan","doi":"10.25259/NMJI_717_21","DOIUrl":"10.25259/NMJI_717_21","url":null,"abstract":"A 61-year-old male presented with a history of fever and burning micturition for 1 week; 3 days after being started on nitrofurantoin 100 mg twice a day by a local practitioner, he developed rash over the body along with scrotal swelling and pain. Following admission to the local government hospital where he developed acute anterolateral myocardial infarction (MI), he was referred to our hospital. At admission, physical examination revealed reticular purpuric plaques with occasional ulceration over both lower limbs, upper limbs and abdomen with extensive scrotal purpura with necrosis. His pulse rate was 110/minute, oxygen saturation by pulse oximetry was 88% on ambient air and temperature was 101 °F. He was started on intravenous antibiotics and treatment for MI. Laboratory investigations revealed leucocytosis, thrombocytopenia, acute kidney injury and hepatic dysfunction. Scrotal ultrasound revealed epididymo-orchitis. The next day, the patient developed altered sensorium. Computed tomography of the brain showed an infarct in the right fronto-parietal region. Possibility of leukocytoclastic vasculitis (LCV) with systemic involvement as an adverse drug reaction to nitrofurantoin was considered; vasculitis-related blood work-up was inconclusive. Punch biopsy of the lesion showed LCV with subepidermal bulla formation. Patient was treated with intravenous corticosteroids (dexamethasone 8 mg thrice-daily), antibiotics and symptomatic management. He was discharged after 2 weeks on decreasing doses of corticosteroids.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"148-149"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877727","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

Varicella pneumonia in an adult. 成人水痘肺炎。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_217_2024

Takuya Suda, Masahiro Konishi, Yasutaka Kawasaki

引用次数: 0

Factors affecting leave against medical advice from the emergency department. 不遵急诊科医嘱请假的因素。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_57_2023

Rishu Kumar, Sandeep Jain, Anoop Purkayastha

{"title":"Factors affecting leave against medical advice from the emergency department.","authors":"Rishu Kumar, Sandeep Jain, Anoop Purkayastha","doi":"10.25259/NMJI_57_2023","DOIUrl":"10.25259/NMJI_57_2023","url":null,"abstract":"Background Leave against medical advice (LAMA) is defined as a patient leaving the hospital against the doctor's advice, sometimes avoiding routine and potentially lifesaving procedures. The rate of LAMA can be a reflection of the effectiveness of communication, treatment and processes of the hospital. We aimed to identify the reasons for LAMA from an emergency department (ED) of a tertiary care hospital in New Delhi. Methods 400 consecutive patients going LAMA from the ED were enrolled in the study. Demographic data, triage category and reasons for LAMA were collected using questionnaires. Statistical analysis was performed and results analyzed. Results 103 (25.8%) patients went LAMA as they felt better after initial treatment and refused further in-hospital care. Other reasons for LAMA decisions included non-availability of intensive care unit (ICU) beds (82; 20.5%), financial constraints (69; 17.3%) and perceived risk of infection (59; 14.8%). Age, gender or triaging categories had no significant effect (p>0.05). Multiple logistic regression analysis revealed that the lack of health insurance and low family income were independent risk factors for LAMA decision. Conclusion In our study, the leading causes of LAMA were a patient feeling better after initial treatment, a lack of ICU beds, financial constraints and a perceived risk of infection.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"144-147"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877730","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

Fluid waves in anterior chamber: A sign of intra-vitrectomy zonular weakness. 前房液体波：玻璃体切除术后晶状体带虚弱的征兆。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_1062_2022

Amber Amar Bhayana, Pradeep Venkatesh

引用次数: 0

Teaching, learning and evaluation of professionalism in dental education: A narrative review. 牙科专业教育的教、学与评价：述评。

The National medical journal of India Pub Date : 2025-05-01 DOI: 10.25259/NMJI_431_2022

Yatishkumar Joshi, Sunita Vagha, Sunita Satish Shrivastav, Sweta Pisulkar, Gaurav Vedprakash Mishra, Abhishek Ingole, Azhar Mohamme

{"title":"Teaching, learning and evaluation of professionalism in dental education: A narrative review.","authors":"Yatishkumar Joshi, Sunita Vagha, Sunita Satish Shrivastav, Sweta Pisulkar, Gaurav Vedprakash Mishra, Abhishek Ingole, Azhar Mohamme","doi":"10.25259/NMJI_431_2022","DOIUrl":"10.25259/NMJI_431_2022","url":null,"abstract":"Background Professionalism is an essential competence needed in the practice of dentistry. Teaching-learning and assessment of this competency is a part of the dental curriculum. We reviewed evidence in the literature regarding methods used for teaching, learning, evaluation and assessment of professional competency in undergraduate dental education. Methods Three different databases were searched for peer-reviewed full-text articles of studies relating to teaching- learning or evaluation of professionalism among dental undergraduate students. The evidence was then screened and the quality of the evidence was analysed by two different reviewers. Results A total of 573 articles were found relating to the topic and after removal of duplicates and initial title and abstract based screening using inclusion and exclusion criteria, 29 articles were shortlisted. Four more were excluded as the full-text of the articles could not be obtained. After full-text screening, 4 more articles were excluded due to variations in the abstract and methodologies in the full-text. Twenty-one articles were finally divided into 12 articles regarding teaching- learning and 9 articles regarding assessment methodologies and subjected to quality analysis. Conclusion Eleven methods for teaching and 8 methods for evaluation of professional competencies were found. The available literature on teaching, learning and assessing professionalism for dental undergraduate education is of moderate to low quality. Various authors have evaluated different methods but there is scope for improving the study designs to be more robust and the tools for assessment need to be refined.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"173-180"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877735","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