The National medical journal of India最新文献_第3页

Landolfi sign: Looking beyond what your eyes can see. Landolfi 标志：超越眼睛所见

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_1070_2022

Devesh Chaudhary, Satyavir Yadav

引用次数: 0

Design and development of an arena blended connected learning model for faculty development in health professions education: A step forward. 设计和开发用于卫生专业教育师资发展的竞技场混合连接学习模式：向前迈进了一步。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_441_2022

Annie Sheeba John, Nalini Y C, Anitha Nancy, Jasmine Jaideep Rayapudi, Punnose Kurian Kattil, Bhavani Krishnamurthy, Shivasakthy Manivasakan, Nilakantan Ananthakrishnan, B V Adkoli

{"title":"Design and development of an arena blended connected learning model for faculty development in health professions education: A step forward.","authors":"Annie Sheeba John, Nalini Y C, Anitha Nancy, Jasmine Jaideep Rayapudi, Punnose Kurian Kattil, Bhavani Krishnamurthy, Shivasakthy Manivasakan, Nilakantan Ananthakrishnan, B V Adkoli","doi":"10.25259/NMJI_441_2022","DOIUrl":"https://doi.org/10.25259/NMJI_441_2022","url":null,"abstract":"Current medical education and clinical practice has led to a need for advanced faculty development for medical teachers to effectively play the role of educators, researchers and administrators. There is large variability in the teaching programmes across countries, which range from a one-time activity to regularly scheduled workshops and seminars, to a highly advanced course spanning a few months to a year. Several healthcare institutes around the world offer faculty training programmes in health professions education, where the curriculum varies in design as they are developed and implemented by their own institutional body or education unit. Following a discussion of arena blended connected (ABC) learning design during a faculty training programme (Postgraduate Diploma in Health Professions Education) and the subsequent move towards an online approach to education due to the pandemic in 2019, the advisory faculty and students started to envision designing the already existing Postgraduate Diploma in Health Professions Education curriculum along the ABC model favouring blended and outcome-based education. Criteria were set for each topic with clearly defined learning levels to be implemented and the frequency of implementation. We describe the design and development of a curriculum for faculty development of health professions education using the ABC model.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891520","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

Physician-medical manufacturing industry relationships: Perceptions of medical students. 医生与医药制造业的关系：医学生的看法。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_328_2023

Avneet Kaur, Simerjit Singh, Harmanpreet Singh

{"title":"Physician-medical manufacturing industry relationships: Perceptions of medical students.","authors":"Avneet Kaur, Simerjit Singh, Harmanpreet Singh","doi":"10.25259/NMJI_328_2023","DOIUrl":"https://doi.org/10.25259/NMJI_328_2023","url":null,"abstract":"Background Physicians and the medical manufacturing industry (MMI) are closely associated and may have some form of financial or business arrangement. Research has highlighted that these interactions negatively impact physicians' prescribing behaviour. We tried to explore medical students' perspectives regarding these interactions. Methods We did a questionnaire-based survey to capture the demographic information and included five yes-or-no questions with two possible answers that probed the participants' awareness. Statements (26 Likert-style questions) describing various physician-industry interactions were formulated based on previous research. Excel was used to gather the data, and SPSS v 25.0® for Windows was used to analyse it. Frequencies and percentages (qualitative variables) and means and standard deviations were used to present descriptive statistics (quantitative variables). The associations between the independent variables and awareness were examined using chi-square test. Results About 40% of students knew doctors and MMI work together, but only 6% knew there were rules about accepting gifts from MMI. Eighty-four per cent of respondents felt free samples from MMI were an excellent way to learn about new products. The prevalence of awareness was higher in interns/housemen (51.6%) compared to medical students (35.9%). Most (43%) of the participants preferred an online database as a method of disclosure. Conclusions Our findings indicated students' knowledge gaps regarding ethical considerations and recommended guidelines regarding the relational dynamics of medical practitioners and MMI. Students should be taught appropriate conduct and best practices and must strive to develop skepticism towards MMI marketing claims. This may be achieved by implementing various educational interventions in the medical curriculum.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891530","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

Cortical versus nuclear lenticular fluid. 皮质透镜液与核透镜液。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_1069_2022

Amber Amar Bhayana, Sudershan Khokhar

引用次数: 0

Health impact of screen addiction: A cross-sectional comparative study. 屏幕成瘾对健康的影响：横断面比较研究

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_344_2022

Shirish Ravichandra Rao, Pauras Pritam Mhatre, Amey Abhijit Ambike, Shilpa Amit Adarkar, Vidushi Gupta, Raghav Mandar Paranjape, Prashant Harish Saraf, Shreeya Kuldeepsing Raul, Esha Suresh Kadam

{"title":"Health impact of screen addiction: A cross-sectional comparative study.","authors":"Shirish Ravichandra Rao, Pauras Pritam Mhatre, Amey Abhijit Ambike, Shilpa Amit Adarkar, Vidushi Gupta, Raghav Mandar Paranjape, Prashant Harish Saraf, Shreeya Kuldeepsing Raul, Esha Suresh Kadam","doi":"10.25259/NMJI_344_2022","DOIUrl":"https://doi.org/10.25259/NMJI_344_2022","url":null,"abstract":"Background Prevalence-based, non-comparative studies have been done to assess psychological and physical consequences of social media and gaming addiction. However, similar studies are lacking for binge-watching, especially in India. We compared the physical and psychological health impact between screen addicted and healthy screen users, by minimizing bias due to confounding factors. Methods We did this cross-sectional comparative study among 120 participants (60 cases and 60 matched controls) consisting of gamers, social media users and binge-watchers, who were recruited from schools and colleges of Mumbai based on their scores on the Digital Addiction Scale (DAS). Levels of depression, anxiety and stress; sleep quality; and dry eye disease were assessed using pre-validated scales such as DASS-21, Pittsburgh Sleep Quality Index (PSQI), and Ocular Surface Disease Index (OSDI), respectively, while the other variables were assessed using a self-designed questionnaire with a content validity ratio (CVR) >0.65. Results The mean (SD) age of the participants was 19.3 (3.2) years, one-third were women; 68% were from medical colleges and 16% each from engineering colleges and high schools. The prevalence and scores of depression, anxiety and stress; poor sleep quality; and dry eye disease; and prevalence of loneliness, aggression and musculoskeletal pain in the wrist, thumb, neck and back were significantly higher in the screen addicted group (p<0.05). Conclusions There was a significant difference in the prevalence and levels of physical and psychological health impact between screen addicted and healthy screen users.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891523","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}

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News from here and there. 这里和那里的新闻

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_37_1_57

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Book Reviews: Toolbox for Assessment of Clinical Competence. Principles of Medical Education. 书评：临床能力评估工具箱》。医学教育原理》。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_121_2024

Anu Sachdeva

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Efficacy and safety of management of placenta accreta spectrum by transverse uterine fundal incision in a single tertiary care centre: A retrospective study. 在一家三级医疗中心采用子宫底横切法处理胎盘早剥谱的有效性和安全性：回顾性研究。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_331_21

Kallol Kumar Roy, Rinchen Zangmo, Anamika Das, Gayatri Suresh, Rakhi Rai, Bhavana Girish, Archana Kumari, Vanamail P, Juhi Bharti, Seema Singhal, Jyoti Meena

{"title":"Efficacy and safety of management of placenta accreta spectrum by transverse uterine fundal incision in a single tertiary care centre: A retrospective study.","authors":"Kallol Kumar Roy, Rinchen Zangmo, Anamika Das, Gayatri Suresh, Rakhi Rai, Bhavana Girish, Archana Kumari, Vanamail P, Juhi Bharti, Seema Singhal, Jyoti Meena","doi":"10.25259/NMJI_331_21","DOIUrl":"https://doi.org/10.25259/NMJI_331_21","url":null,"abstract":"Background We assessed the efficacy and safety of management of morbidly adherent placenta by the transfundal uterine incision approach. As a secondary outcome measure, we compared ultrasound and magnetic resonance imaging (MRI) for the diagnosis of adherent placenta. Methods We retrospectively analysed the records of 5 years of women with adherent placenta. Twenty-five women with an antenatal diagnosis of placenta increta and percreta operated by transfundal uterine incision were included. Blood loss, transfusion requirements, operative injuries, and maternal and neonatal intensive care unit (ICU) stay were compared among three different types of adherent placenta. Surgical and other outcome measures were also analysed. Results On antenatal screening with ultrasound, an accurate diagnosis could be achieved in all cases of increta and two-thirds of percreta. Antenatal diagnosis by MRI detected 93.3% of increta and all percreta cases. The mean (SD) gestation at delivery was 34 (4.9) weeks in accreta, 34.9 (2.7) weeks in increta and 31 (4.8) weeks in percreta patients. The mean blood loss encountered intraoperatively was 1012.5 (193.1) ml, 1566.67 (566.52) ml and 1591.67 (629.61) ml in accreta, increta and percreta patients, respectively. Inadvertent bladder injury occurred in 3 women who had placenta percreta invading the bladder. There was no long-term morbidity and no mortality. Conclusion Transfundal incision for delivery of baby is associated with the advantage of avoiding the placenta thereby minimizing blood loss.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891521","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

Macrolipasemia variant of macroenzymes: An endocrine laboma. 大酶变异型巨脂蛋白血症：内分泌唇瘤

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_161_21

Lokesh Kumar Sharma, Rashmi Rashi Datta, Anshita Aggarwal, Neera Sharma, Deep Dutta

{"title":"Macrolipasemia variant of macroenzymes: An endocrine laboma.","authors":"Lokesh Kumar Sharma, Rashmi Rashi Datta, Anshita Aggarwal, Neera Sharma, Deep Dutta","doi":"10.25259/NMJI_161_21","DOIUrl":"https://doi.org/10.25259/NMJI_161_21","url":null,"abstract":"Macroenzymes, formed by polymerization of physiological enzymes with immunoglobulins, have slower renal clearance rates due to their higher molecular mass. They are usually incidentally detected, have no pathophysiological importance, and can potentially lead to over-treatment and iatrogenic morbidity. We present, possibly for the first time, a macro-lipasemia variant of macroenzyme, detected in a 14-year-old girl with type-1 diabetes admitted with severe hyperglycaemia and pain abdomen. Raised lipase levels (414 U/L), initially raised the suspicion of underlying pancreatitis, which was ruled out by the clinical symptoms and normal ultrasound and CT imaging of the pancreas. Upper gastrointestinal endoscopy revealed pangastritis, which could explain the mild upper abdominal pain in the child. She improved with proton pump inhibitor therapy and was discharged after 5 days of hospital admission after good glycaemic control using multiple subcutaneous injections of insulin. Post-polyethylene glycol (PEG) precipitation, the recovery of lipase activity in PEG treated serum sample was 30.6% (127 U/L), which confirmed the presence of macrolipase. An increased clinical suspicion and performing a cheap reliable test (PEG precipitation), whenever there is clinical biochemical discordance can help us in diagnosing more patients with macroenzymes and macrolipasemia.","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891527","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

Pseudo-subarachnoid haemorrhage: An unusual presentation of hyperviscosity syndrome. 假性蛛网膜下腔出血：高粘度综合征的一种不寻常表现。

The National medical journal of India Pub Date : 2024-01-01 DOI: 10.25259/NMJI_336_20

Anil Thomas, Hyma Jose, Lydia Jacob, Jency Maria Koshy, Greeshma Merin Sebastian

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