{"title":"A systematic observation tool as an alternative to self-reported substance use for tobacco related regulation implementation.","authors":"Nithya Nair, Harshal Ramesh Salve","doi":"10.25259/NMJI_271_2026","DOIUrl":"https://doi.org/10.25259/NMJI_271_2026","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"325-326"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889970","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":"Reduced iodine solution as an objective indicator of tissue perfusion during embalming in cadavers.","authors":"Surraj Susai, Mrudula Chandrupatla, Punnapa Raviteja","doi":"10.25259/NMJI_1402_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1402_2024","url":null,"abstract":"<p><p>Background Anatomists rely on subjective cadaveric signs such as frothy ooze or abdominal fullness to mark the completion of tissue perfusion during embalming. We evaluated the use of a reduced iodide solution, coated over certain distinct sites on cadavers, to mark the completion of formalin perfusion to stop embalming at the right time. Methods In a comparative study, reduced iodide was coated over the nail plates of the great toes and onto sticks inserted into the pinnae prior to the start of embalming of 6 cadavers while another set of 6 cadavers underwent standard embalming. A fixed amount (8 L) of embalming solution was prepared for each cadaver. In the first 6 cadavers, embalming fluid infusion was stopped when the colour changed from brownish yellow to colourless while in the controls, embalming fluid was infused till standard signs of completion were reached. The volume of unused embalming fluid in the two sets of cadavers was compared. Results The amount of unused embalming fluid was significantly higher in the experimental set of cadavers [3616.66 (0.76) ml v. 1783.33 (0.64) ml] when compared with the control set while the infusion time was significantly lower [373.33 (0.67) minutes v. 623.33 (0.69) minutes]. Conclusion Use of the reduced iodide method to objectively assess completion of embalming could result in saving time and the amount of formalin used during the embalming procedure.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"309-311"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890063","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}
Vanishree Shivanand Bubanale, Smita S Sonoli, Reshma D Channashetti, Sangamma S Sajjan, Atteque M Harlapur
{"title":"Structured viva voce as an assessment tool during formative examinations in biochemistry among undergraduates.","authors":"Vanishree Shivanand Bubanale, Smita S Sonoli, Reshma D Channashetti, Sangamma S Sajjan, Atteque M Harlapur","doi":"10.25259/NMJI_603_2024","DOIUrl":"https://doi.org/10.25259/NMJI_603_2024","url":null,"abstract":"<p><strong>Background: </strong>Assessment is a part of every step of professional growth. Conventional viva examination is subjective, non-transparent, and unstructured; it may be prejudiced. We evaluated the merits and desirability of using structured viva over traditional viva as an assessment tool for formative examinations in Biochemistry, and to obtain students' and faculty's perception of it.</p><p><strong>Methods: </strong>The study was conducted in the Department of Biochemistry, J.N. Medical College, Belagavi, during the 2nd internal assessment examinations. Students were briefed about a structured viva. They were divided into 8 batches (25 students in each batch). Half of the batch gave a structured viva and the other half gave a traditional viva. Later, crossing over was followed. After the examination by both methods, students' performance was compared in both groups. The feedback was collected on a Likert scale from the students and faculty regarding the structured viva. Statistical analysis was done using Microsoft Excel and Statistical Package for the Social Sciences (SPSS) version 21.</p><p><strong>Results: </strong>The overall scores for the structured and traditional vivas were 5.94 and 6.17, respectively. This shows that the scores are almost the same in both methodologies used in the study. More students got average (between 5 and 7) and high marks (7 and above 7) in the traditional viva. In contrast, more students got low marks (below 5) in the structured viva.</p><p><strong>Conclusion: </strong>As the mean scores obtained by students using both methods were the same, we cannot conclude that the structured viva is a better assessment tool than the traditional viva. However, the method was perceived well by both the faculty and students. To support this pattern, a larger sample size than the one utilized would be required.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"329-331"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890171","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":"Mechanical ventilation in chronic metabolic alkalosis: Mind the gap between patient and machine.","authors":"Sachin Wali, Shreyas Gutte, Mohan Gurjar","doi":"10.25259/NMJI_1670_2025","DOIUrl":"https://doi.org/10.25259/NMJI_1670_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"345-346"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890083","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":"Non-adherence to therapy: An independent risk factor for transition to psychosis in ultra-high-risk individuals.","authors":"Prerna Prerna, Shubha Bagri, Nishtha Chawla","doi":"10.25259/NMJI_1970_2025","DOIUrl":"https://doi.org/10.25259/NMJI_1970_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"327-328"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890064","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}
Varsha Vaidya, Gurudatt D Potdar, Advait Teli, Srinivasa Chelluri
{"title":"Enhancing rural healthcare delivery in India: eSanjeevani and the community health officer perspective.","authors":"Varsha Vaidya, Gurudatt D Potdar, Advait Teli, Srinivasa Chelluri","doi":"10.25259/NMJI_541_2024","DOIUrl":"10.25259/NMJI_541_2024","url":null,"abstract":"<p><p>Background We explored the perceptions of community health officers (CHOs) regarding the effectiveness of eSanjeevani, a telemedicine platform used in rural healthcare delivery across India. The increasing use of eSanjeevani highlights its potential to address healthcare accessibility limitations, particularly in remote areas. Methods We included 120 CHOs who completed training between March and August 2020 and had a 2-year experience at the time of this study (September 2022). A structured questionnaire was distributed via Google Forms to assess the CHOs' perceptions of eSanjeevani. Interviews were also conducted to gather qualitative data on perceived modifications for improvement. Descriptive statistics were analysed for quantitative data. Results A response rate of 88.3% (n=106) was achieved. Over half (53.77%) the CHOs used eSanjeevani daily. CHOs perceived eSanjeevani to be effective in managing non-communicable diseases, with 39.6% reporting it was useful for diabetes and 38.7% for hypertension, skin conditions (50.9%), followed by paediatric (45.3%) and maternal health issues (42.5%). However, limited specialist availability (58.49%), network connectivity issues (22.64%), and extended waiting times (15.1% with wait times exceeding 90 minutes) were identified as the limitations of the platform. Thematic analysis of the open-ended responses revealed recommendations for improvement, with a focus on increasing specialist availability (41.5%) and reducing waiting times (37.7%). Conclusion From the perspective of CHOs, the eSanjeevani platform facilitates improved access to specialists and early diagnosis but challenges related to infrastructure and resource limitations persist. The findings support continued investment in eSanjeevani alongside efforts to address identified limitations to optimize role of telemedicine in enhancing rural healthcare delivery.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"306-308"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889992","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}
Shipra Singh, Mina Chandra, Shrishti Dahuja, Nitin Raut
{"title":"Impact of violence against medical professionals: An online survey of medical practitioners in India.","authors":"Shipra Singh, Mina Chandra, Shrishti Dahuja, Nitin Raut","doi":"10.25259/NMJI_23_2024","DOIUrl":"https://doi.org/10.25259/NMJI_23_2024","url":null,"abstract":"<p><p>Background There has been an increase in incidents of violence against doctors. We aimed to explore the perceived nature and causes of violence faced or witnessed by doctors and its perceived impact on them and on medical practice in India. Methods A semi-structured validated questionnaire comprising demographic and work-related details, particulars of incidents of violence, perceived reasons and impact of the incidents, was disseminated to doctors practising in India through various email and WhatsApp groups and messages. Participation was voluntary, and responses were anonymized. Results Of the 439 responses received, 80.2% reported having faced or witnessed workplace violence (WPV), of which verbal abuse was the most common, followed by physical and sexual violence. Mental health was affected by the incident, lasting for weeks to a year. Measures to prevent WPV and outcomes of reporting the incidents were inadequate. Mob mentality and unrealistic expectations of a good outcome were considered important contributory factors, and practical skill training of doctors and safety measures at the workplace were considered preventive factors. Conclusion WPV against medical professionals is a matter of concern. Measures at various levels can be introduced to prevent WPV, including an adequate system of reporting and measures to address them in real time, incorporation of various practical communication skills in the medical graduate curriculum, and rigorous implementation of the law.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"298-302"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889969","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":"Developing and conducting a value-added course on emotional competencies at an Indian university.","authors":"Darshankumar Dharaiya, Alvis Keisham, Kashyap Prajapati, Anusha Prabhakaran, Jagdish R Varma, Himanshu Pandya","doi":"10.25259/NMJI_1005_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1005_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"343-344"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889997","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":"Manotherapy: An Indo-Greek alternative to psychotherapy.","authors":"Narayana Manjunatha","doi":"10.25259/NMJI_444_2025","DOIUrl":"https://doi.org/10.25259/NMJI_444_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"346-347"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890085","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":"Re: Availability of care for people with diabetes: An exploratory study.","authors":"Akhil R Nair","doi":"10.25259/NMJI_718_2026","DOIUrl":"https://doi.org/10.25259/NMJI_718_2026","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"39 5","pages":"344-345"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890065","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}