The National medical journal of India最新文献

{"title":"Author reply re: Malla BSSM, Kattamreddy AR. A case for banning paraquat in India: A public health concern.","authors":"Ananth Rupesh Kattamreddy","doi":"10.25259/NMJI_754_2025","DOIUrl":"10.25259/NMJI_754_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"189-190"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877726","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":"Ending Nuclear Weapons, Before They End Us.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, David Onazi, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski","doi":"10.25259/NMJI_634_2025","DOIUrl":"10.25259/NMJI_634_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877728","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":"The landscape of Ayurveda education in India: Current status and prospects.","authors":"Shobhit Kumar, Ashwin Chandra Chiluveri, Deepak Londhe, Uday Ravi Sekhar Namburi","doi":"10.25259/NMJI_752_2022","DOIUrl":"10.25259/NMJI_752_2022","url":null,"abstract":"<p><p>India has a well established and regulated traditional medicine system conducting undergraduate (UG), postgraduate (PG) and PhD courses. It has the highest network of colleges across the country among Ayush systems. In view of the growing demand for traditional and complementary medicine services at the global and national level, the need for regulatory and monitoring standards for quality assurance in education and training is pivotal. We aimed to determine the current status of Ayurveda education in India and its prospects. There are 450 UG Ayurveda colleges with 31 790 seats, whereas, 140 institutes are imparting PG Ayurveda courses with 4600 seats. There were many issues that existed in Ayurveda education and practice for a long time. Government of India has taken several initiatives to address these. These include skewed distribution of colleges across the States/Union territoies, less availability of seats in the public sector, gaps in clinical teaching methods, utilization of various available resources and non-availability of a streamlined National online register for Ayurveda practitioners, which needs to be addressed by the National Commission for Indian System of Medicine (NCISM). NCISM has to maintain the recent reforms and needs to operationalise the mandated reforms in a mission and time-bound manner to meet the current public healthcare requirements expected from the Ayurveda system. The roles and responsibilities of other stakeholder institutions, such as Ministry of Education, National Institution for Transformation of India Aayog, Universities and Research Councils, are also vital.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"163-168"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877736","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 protocolised approach provides a favourable outcome in patients with severe pelvic trauma.","authors":"Majid Anwer, Dinesh Bagaria, Narendra Choudhary, Abhinav Kumar, Pratyusha Priyadarshini, Sushma Sagar, Amit Gupta, Biplab Mishra, Subodh Kumar","doi":"10.25259/NMJI_464_2022","DOIUrl":"10.25259/NMJI_464_2022","url":null,"abstract":"<p><p>Background Pelvic fractures are often a result of injuries caused by a major force and lead to considerable morbidity and mortality. Despite advances in acute management protocols involving angioembolization as a prime intervention, mortality in complex pelvic fractures remains high. We analysed our experience with the outcomes of a pelvic trauma management protocol using surgical haemostatic techniques over 5 years. Methods We did a retrospective analysis of all patients admitted with pelvic factures from January 2014 to December 2018. Demographic profile, clinical details, imaging findings, operative details and outcomes were analyzed. Logistic regression analysis was used to determine factors predicting poor outcomes in patients with pelvic fractures. Results A total of 501 patients with pelvic fractures were included, predominantly male (376; 75%), with a mean (SD) age of 34 (13.1) years. Road traffic accidents were the most common cause of injury (362; 72.3%). On presentation, 76 (15.2%) patients were haemodynamically unstable. The most common pattern of pelvic fractures was lateral compression in 320 (63.9%). Seventy-nine patients (15.7%) died. Haemorrhagic shock (251; 50%) and sepsis (86; 34.2%) were the predominant causes of death. Multivariate analysis predicted a higher class of haemorrhagic shock and a high injury severity score was associated with poor outcomes of pelvic fractures. Conclusions Management of pelvic trauma is complex due to haemodynamic instability and multiple organ involvement. Our goal-directed, resource-directed approach provided an overall favourable outcome in patients with pelvic fractures.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877724","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":"Virtual training of trainers for skill acquisition using blended learning. A new experience of an old format: A pilot project.","authors":"Suhani Suhani, Abhishek Nagarajappa, Rashmi Ramachandran, Ambuj Roy","doi":"10.25259/NMJI_185_2023","DOIUrl":"10.25259/NMJI_185_2023","url":null,"abstract":"<p><p>Background Blended learning (BL) for skill acquisition is an integral part of the undergraduate curriculum. Teachers may be trained in BL using physical or virtual platforms. Training of Trainers (ToT) using a virtual platform was adopted during the Covid-19 pandemic. We report our experience in conducting virtual training to impart hands-on knowledge to trainers about the BL technique. Methods We conducted a virtual ToT workshop to train trainers on a blended model for skill teaching. A moderator and a list of trainers were identified at the host institution. Invitations were sent to other institutions. The moderator briefed the participants through email. They were required to identify a topic for creating an e-learning module and asked to develop learning objectives, a standard operating procedure, and multiple-choice questions for the same. A 1.5-day programme was developed that included didactic lectures and small-group discussions on developing eModules. A feedback form using Google Forms was distributed among the participants to be completed after the programme. Results Thirty participants were enrolled. All were highly satisfied with the content of the workshop. Didactic lectures were completed on time. The duration in the breakout room for small group discussion was considered short. Twenty-eight participants felt that the workshop had sufficient learning points to keep the learner engaged for 1.5 days on a virtual platform. Only 3 participants were not satisfied with the use of a digital platform for this workshop. The content of the workshop regarding functioning and utility of the skill laboratory was perceived as useful for their institutional practice by 27 participants. Conclusion Virtual platforms can be used to conduct ToT workshops focusing on BL for skill acquisition.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877775","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":"Enhancing capacities of primary care physicians to tackle the rising burden of common mental disorders in India.","authors":"Rakesh Mehra, Shivangi Vats, Anuj Kumar, Sandeep Bhalla","doi":"10.25259/NMJI_481_2022","DOIUrl":"10.25259/NMJI_481_2022","url":null,"abstract":"<p><p>Background The scarcity of specialists to treat mental disorders in highly populated low and middle-income countries like India has always remained an important public health problem. Recently, a collaborative training model was developed to train primary care physicians (PCPs) for the management of mental disorders in India. We document the effectiveness of capacity building in enhancing PCPs knowledge, behaviour, and practice in managing common mental disorders. Methods We did a cross-sectional study across India from June to November 2020, utilizing both quantitative and qualitative data collection methods. The study tools and programme were designed and developed based on the Kirkpatrick model and Andragogy theory, respectively. A total of 143 enrolled PCPs were included in the study. The baseline-end of study, pre and post-intervention assessments, and the overall programme evaluation were done for knowledge, attitude, and practice (KAP). A paired sample t-test with p values was done to test the differences between baseline-end of study and pre and post-test values. In addition, the mean and standard deviation of the responses were calculated. Qualitative data and open-ended responses were analyzed using an inductive content analysis technique. Results The study showed a significant improvement in the KAP of trained physicians as measured by the post-intervention survey (p<0.05). This collaborative training intervention has a high potential for scaling up while optimally addressing the scarcity of trained mental health professionals in similar settings, such as India. Conclusion The collaborative training model showed notable improvements in the knowledge, attitude, and practices of primary care physicians when managing common mental disorders. These results emphasize the effectiveness and practicality of structured, theory-based training in enhancing mental health services at the primary care level. The model's success suggests that it could be expanded and scaled up in other low-resource settings that face comparable workforce issues in mental health care.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 3","pages":"181-186"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877729","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":"The role of a specific module for motivating medical educators towards self-directed learning in medical education: A qualitative study.","authors":"Arunima Chaudhuri, Shivasakthy Manivasakan, Nilakantan Ananthakrishnan","doi":"10.25259/NMJI_938_2024","DOIUrl":"10.25259/NMJI_938_2024","url":null,"abstract":"<p><p>Background Medicine is a rapidly evolving field, so medical education aims to instill in students a commitment to ongoing learning and professional development promoting lifelong learning. To determine the role of a specific module in motivating medical educators to promote self-directed learning (SDL) in Medical Education. Methods The present study was conducted after obtaining institutional ethical clearance and informed consent from the participants. One-month mentor-learner web sessions on SDL using Google Group were arranged after administrative approval was obtained. There were 42 participants in the study. The whole module was conducted online. Study materials were provided to the participants using the Google Group and the WhatsApp Group, and for group activities learners were divided into five groups. Results Faculty members were motivated to apply their acquired skills as per feedback responses, reflection writing analysis, responses to motivational scale scores (Mean of importance and effort items were between 4.07-4.48 on a 5-point scale), and program evaluation (Kirkpatrick Level 1) was satisfactory. Conclusion The present faculty development program conducted online focused on SDL providing educators with essential tools and strategies to foster SDL among medical students. The program encompassed various elements, including peer review, hands-on training sessions, and collaborative learning, aimed at enhancing faculty members' understanding of SDL principles and their practical implementation in medical curricula. The combination of intrinsic and extrinsic motivators, coupled with a well-designed faculty development program, contributed to the success of the initiative in promoting SDL in medical education.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 2","pages":"108-114"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532571","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":"Candida parapsilosis endocarditis ın a patient with liver transplantation.","authors":"Sibel Dogan Kaya, Aysu Türkmen Karaağaç","doi":"10.25259/NMJI_336_2023","DOIUrl":"10.25259/NMJI_336_2023","url":null,"abstract":"<p><p>Infective endocarditis (IE) is caused by viral, bacterial or fungal pathogens, with high morbidity and mortality. Fungal endocarditis is rare and is associated with severe complications with poor prognosis despite combined medical and surgical treatment. Although Candida albicans is the most common fungal agent of this severe form of endocarditis, Candida parapsilosis is the most common non-albicans causative species. A 17-year-old patient who had had a liver transplant was referred to our paediatric cardiovascular surgery ward with a diagnosis of right heart failure. He had had coronary artery bypass graft and aortic valve replacement in 2021. He came to the outpatient clinic with complaints of fever, weakness, nausea and vomiting. On physical examination, he had pallor, dyspnoea and tachycardia. His fever was 38 °C and a grade 2/6 systolic ejection murmur was detected on auscultation. Amphotericin B in a dose of 4 mg/kg/day was started based on the antifungal sensitivity test.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 2","pages":"94-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532553","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":"The effect of telephone follow-up and training on treatment adherence in tuberculosis patients and contacts: A randomized controlled study.","authors":"Sema Aytaç, Özlem Ovayolu","doi":"10.25259/NMJI_1061_2022","DOIUrl":"10.25259/NMJI_1061_2022","url":null,"abstract":"<p><p>Background We evaluated the effect of 6 months of regular training, tele-monitoring and daily text message to remind medication intake on treatment adherence in tuberculosis (TB) patients and their contacts. Methods This randomized, controlled study with pre- test and post-test design was conducted with the following groups: TB Intervention, TB control, contacted intervention and contacted control group, a total of 66 patients and 87 contacted people. The data of study were collected with 'Patient and Contact Question Form', Tuberculosis Adherence Determination Questionnaire (TADQ) and 'Morisky 8-Item Adherence to Drug Questionnaire' (MMAS-8). Results TADQ scores of the TB intervention group in the beginning, 1st, 3rd and 6th months were 80.4 (7.9), 117.8 (6.3), 137.7 (7.5), 143.2 (4.5), respectively, and TADQ scores of the TB control group in the beginning, 1st, 3rd and 6th months were 88.1 (7.1), 84.5 (9.8), 75.9 (7.9), 65.2 (9.2), respectively. MMAS-8 scores of the contacted intervention group in the beginning, 1st, 3rd and 6th months were 3.6 (1.3), 5.5 (0.7), 7.2 (0.8) and 7.7 (0.7), and those of the control group were 5.7 (1.4), 4.3 (1.4), 1.8 (1.5) and 0.7 (1.4), respectively. Conclusion As a result of 6 months of regular training, tele-monitoring and daily text message, adherence of the patients to TB treatment increased, and the adherence of the contacted people to the medication increased. Nurses should take an active role in the management of TB, determine the patients who do not use drugs correctly in the early period and apply the required interventions as soon as possible to improve treatment adherence of TB patients and contacts.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 2","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532570","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":"News from here and there.","authors":"","doi":"10.25259/NMJI_847_2025","DOIUrl":"https://doi.org/10.25259/NMJI_847_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 2","pages":"127-128"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532565","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}