Current medical issues最新文献_第4页

Advocating workplace learning in medical education 提倡医学教育中的职场学习

Current medical issues Pub Date : 2023-04-01 DOI: 10.4103/cmi.cmi_128_22

S. Shrivastava, R. Lubis

{"title":"Advocating workplace learning in medical education","authors":"S. Shrivastava, R. Lubis","doi":"10.4103/cmi.cmi_128_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_128_22","url":null,"abstract":"The journey of a medical student during the undergraduate training period is quite challenging as they are expected to become competent in a wide range of attributes which are essential to a future health-care professional. It is quite obvious that considering the complex nature of attributes that a medical student must acquire, we must expose them to a number of learning opportunities, preferably in their workplace settings. Various learning theories have explained the ways, in which a medical student can learn various skills in workplace settings. However, it is the responsibility of the teacher to optimize the learning experience. Workplace learning in the field of medicine carries immense potential and offers a crucial opportunity for teachers to shape the career of medical students, who will be our future health-care providers. To conclude, workplace learning is an indispensable component of the medical curriculum. As we move forward in our global vision to improve the health indicators and quality of life of the members of the community, we have to strengthen workplace learning across all medical institutions worldwide and this will essentially require the support of all the stakeholders.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"23 5","pages":"126 - 128"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72409662","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

Impact of COVID-19 vaccination on menstruation pattern among female nursing and paramedical students in a peripheral medical college in Eastern India 新冠肺炎疫苗接种对印度东部一所外围医学院女护理和医辅助学生月经规律的影响

Current medical issues Pub Date : 2023-04-01 DOI: 10.4103/cmi.cmi_105_22

Ayan Goswami, A. Majhi, A. Chaudhuri, Pratip Kundu

{"title":"Impact of COVID-19 vaccination on menstruation pattern among female nursing and paramedical students in a peripheral medical college in Eastern India","authors":"Ayan Goswami, A. Majhi, A. Chaudhuri, Pratip Kundu","doi":"10.4103/cmi.cmi_105_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_105_22","url":null,"abstract":"Background: Many females worldwide have reported abnormalities in their menstrual patterns post-COVID-19 vaccination. The present study was conducted to determine the impact of the COVID-19 vaccination on menstrual patterns among female nursing and paramedical students at a peripheral medical college in eastern India. Materials and Methods: The cross-sectional, online self-administered survey was conducted using Microsoft Forms after taking institutional ethical clearance and informed consent from the participants. Two hundred BSc nursing and paramedical students who had received two doses of COVID vaccination (Covaxin or Covishield) and were not suffering from any endocrinopathies, bleeding disorders, structural gynecological abnormalities, or taking any medication known to affect the hypothalamic–pituitary–gonadal axis were included in the study. The questionnaire included menstrual length cycle length and amount of bleeding and there were no direct identifiers. Results: The participants reported a significant increase in the amount of bleeding on the heaviest day (mean ± standard deviation [SD] of the number of pads used was 3.52 ± 1.15 during prevaccination months vs. 4.64 ± 1.36 during postvaccination months; P < 0.001) following vaccination. A similar result of increased bleeding on the heaviest day of the period was obtained in both the Covaxin group (mean ± SD: 3.08 ± 1.16 vs. 4.88 ± 1.53; P: 0.001) and the Covishield group (mean ± SD: 3.59 ± 1.13 vs. 4.6 ± 1.34; P < 0.001). No difference in change in the menstrual pattern was observed between the two groups who had received two different types of vaccine (P: 0.527). Conclusion: The study showed a possible connection between the COVID-19 vaccination and the change in menstrual patterns.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"9 1","pages":"104 - 109"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87308814","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

Morphological variations and biometrics of ear: First documented evidence from ethnic Kashmiri Population (Northern India) 耳部形态变异和生物特征:来自印度北部克什米尔族群的首次文献证据

Current medical issues Pub Date : 2023-04-01 DOI: 10.4103/cmi.cmi_89_22

S. Jan, Sobiya, B. Shah, S. Saleem

{"title":"Morphological variations and biometrics of ear: First documented evidence from ethnic Kashmiri Population (Northern India)","authors":"S. Jan, Sobiya, B. Shah, S. Saleem","doi":"10.4103/cmi.cmi_89_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_89_22","url":null,"abstract":"Background: Anthropometric data for a specific population is always required for identification, product design, ear reconstruction, and manufacture of ear-related instruments. This study aimed to determine the anthropometric measures of the external ear and compare them on both the sides and in either sex among the ethnic Kashmiri population. Methods: The study sample had 98 boys and 102 females aged 18–25. Subjects with a history of craniofacial trauma, ear diseases, congenital defects, or ear surgery were excluded from the study after racial confirmation. A single investigator took all measurements on both the ears using a standard digital Vernier's caliper capable of measuring to the nearest 0.1 mm. Results: It is observed that the total ear width (EW) in the right ear ranged from 2.92 ± 0.19 to 3.12 ± 0.22 in cm. The mean EW on the left ear was found more significant than on the right side in the studied population. The mean TEH among the males in the right ear was found to be 6.02 ± 0.34, while in the left, it was 5.78 ± 0.33. Furthermore, the mean EW among the females on the right side was 2.88 ± 0.21 compared to 2.85 ± 1.25 for the left and right ears respectively. The association was found to be significant (P ≤ 0.001). Conclusion: Identifying landmark variations in distinct ethnic groups could help establish morphological assessment and morphometric variations of human ears.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"93 1","pages":"88 - 92"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74094390","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

A case of transient constrictive pericarditis following COVID-19 infection COVID-19感染后一过性缩窄性心包炎1例

Current medical issues Pub Date : 2023-04-01 DOI: 10.4103/cmi.cmi_119_22

Omar Fakhreddine, Jamil Francis, Joe Younes, W. Gharzeddine

引用次数: 1

Missing the trees for the forest: A survey of sub-district-level mortality pattern in North Bihar, India 不见树木不见森林:印度北比哈尔邦分区级死亡率模式调查

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_92_22

S. Cynthia, M. George, P. Finny, Mathew Thomas, L. Armstrong

{"title":"Missing the trees for the forest: A survey of sub-district-level mortality pattern in North Bihar, India","authors":"S. Cynthia, M. George, P. Finny, Mathew Thomas, L. Armstrong","doi":"10.4103/cmi.cmi_92_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_92_22","url":null,"abstract":"Background and Objective: The paucity of knowledge on mortality patterns in a state such as Bihar with its population of 200 million contributes to misdirected planning and prioritization of health expenditure. This study aims to estimate the regional differences in mortality rates between a region in North Bihar and the rest of state and country. Methodology: Using a multi-stage cluster design, 4159 households were interviewed across six Community Development blocks in North Bihar, identifying deaths between the Chhath festivals of 2014 and 2015. The cause of death was assessed by verbal autopsy and coded using the International Classification of Disease 10. Proportionate and specific mortality rates were calculated. Results: Of 229 deaths, only 7% were registered. The epidemiological transition level for the region was 1.12 with an infant mortality rate of 72 per 1000 live births (95% confidence interval [CI] 55.7–88.4) and under-five mortality rate of 93.2 per 1000 live births (95% CI 74.6–111.7). These rates were double that of the state estimates. Among infant deaths, infections predominated over prematurity while in adult deaths diseases of the respiratory system exceed diseases of the circulatory system as seen in the state and country mortality rates. Conclusions: This study indicates that regional mortality patterns widely differ from state and national average estimates. Deaths due to maternal and neonatal conditions along with communicable diseases still predominate over other causes. Obtaining disaggregated information on causes of death by strengthening the vital registration system will bring these variations into focus.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"100 1","pages":"37 - 43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76083464","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

Incidence and risk factors of emergency peripartum hysterectomy: A cross-sectional study from a single tertiary care maternity hospital 急诊围产期子宫切除术的发生率和危险因素:一项来自单一三级保健妇产医院的横断面研究

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_76_23

Heena Chowdhary, Natasha Gupta, Nitin Sepolia

{"title":"Incidence and risk factors of emergency peripartum hysterectomy: A cross-sectional study from a single tertiary care maternity hospital","authors":"Heena Chowdhary, Natasha Gupta, Nitin Sepolia","doi":"10.4103/cmi.cmi_76_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_76_23","url":null,"abstract":"Background: Emergency peripartum hysterectomy (EPH) is a life-saving surgical surgery performed during or after childbirth to preserve the lives of women and newborns in life-threatening conditions. It is linked to high rates of maternal morbidity and mortality. This study aimed to determine the incidence and risk factors for EPH at a tertiary care maternity hospital in Jammu and Kashmir, India. Methods: Between January 2020 and December 2022, retrospective descriptive cohort research was carried out. All pregnant patients scheduled for delivery at the Obstetrics and Gynecology department of SMGS, GMC Jammu, were included in the study. Maternal demographics, medical and obstetric history, EPH indications, surgical and obstetric care, and maternal and newborn outcomes were all gathered from medical records and hospital databases. Descriptive analysis and statistical tests were performed using SPSS Statistics. Results: The study comprised 104 cases of EPH, with an incidence of 2.40/1000 deliveries. The usual maternal age at delivery was 36 years, and the median number of children was two. Previous cesarean delivery was a substantial risk factor, with at least one previous cesarean in 69.2% of cases. The most common cause of EPH, accounting for 73.0% of cases, was aberrant placentation. Less common indicators were uterine atony, uterine rupture, uterine myoma, and placental abruption. Total hysterectomy was performed in 83.3% of cases, with general anesthesia being the predominant type of anesthesia. The median estimated blood loss was 2100 mL, and intraoperative complications were observed in 29.8% of cases. No maternal deaths were reported. Conclusion: In the examined cohort, the incidence of EPH was 2.40/1000 deliveries. Abnormal placentation, including placenta previa and placenta accreta spectrum, as well as previous cesarean birth, were significant risk factors for EPH.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884573","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

Clinical significance of repeat fine-needle aspiration in managing patients with suppurative lesion 反复细针抽吸治疗化脓性病变的临床意义

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_107_22

M. Elancheran, K. Siva, V. Sriram, V. Archana, S. Ragavendran

{"title":"Clinical significance of repeat fine-needle aspiration in managing patients with suppurative lesion","authors":"M. Elancheran, K. Siva, V. Sriram, V. Archana, S. Ragavendran","doi":"10.4103/cmi.cmi_107_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_107_22","url":null,"abstract":"Background: Fine-needle aspiration (FNA) has been challenged about its role in the management of patients with clinical suspicion of infective or neoplastic etiology but cytological picture showing features of acute suppuration. This study emphasizes the need to perform repeat FNA cytology (FNAC), especially if the mass lesion is indicating suppuration and has not responded to the initial course of antibiotics. Materials and Methods: All patients with a previously diagnosed suppurative lesion on cytology smears who have undergone repeat FNA were included in the study. Insufficient material on FNA and the nonavailability of slides were excluded from this study. Results: Repeat FNA assisted in the detection of malignant lesions (3), tubercular lesions (20), fungal lesions (9), and benign lesions (9) out of the 123 cases of previously diagnosed acute suppurative lesions. Comparison of FNAC findings with histopathological specimens was available for 52 cases, following which repeat FNA had a sensitivity of 66.67% (95% confidence interval 34.89%-90.08%) in detecting neoplastic, specificity was 100%, positive predictive value was 100%, negative predictive value was 90.91%, and the total diagnostic accuracy was 92.31%. Conclusion: Patients with acute suppurative lesions should be followed by repeat FNA, especially if the lesion is not responded to initial antibiotic therapy. Repeat FNA will enhance the diagnostic accuracy of malignant lesions and many other lesions, such as fungal or tubercular infections. It will reduce the need for surgical interventions and molecular detection of infectious diseases.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"6 1","pages":"3 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82117759","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

Mortality in soft-tissue infections: Is it predictable? 软组织感染的死亡率:可预测吗?

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_34_23

Vijayan Purushothaman, DeepakThomas Abraham, Subramani Kandasamy

引用次数: 0

A case of solitary neurofibroma involving the lower limb in a young tribal girl 一例孤立性神经纤维瘤累及一个年轻的部落女孩的下肢

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_83_22

Alisha Kalyanpur, Royson Dsouza, B. Kurien

引用次数: 0

Scope of portfolio in medical training 医学培训项目的范围

Current medical issues Pub Date : 2023-01-01 DOI: 10.4103/cmi.cmi_73_22

S. Shrivastava, P. Shrivastava

{"title":"Scope of portfolio in medical training","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/cmi.cmi_73_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_73_22","url":null,"abstract":"The introduction of competency-based medical education has brought about a paradigm shift in the delivery of medical education in both undergraduate and postgraduate courses. A portfolio can be regarded as an instrument that can be employed for the storage of learning on a day-to-day basis and for recording the self-reflection by the students. As a matter of fact, the compilation of learning from different sessions gives an opportunity for the students to look back, analyze the overall process and thus reflect on the same, and this process plays a crucial role in ensuring deep learning. At the same time, the compiled information is being used for making evidence-based and well-informed decisions about the overall progress of the student. Further, we also cannot ignore the fact that a well-maintained portfolio can be looked on as one of the indicators of the quality assurance processes employed in an institution. To conclude, portfolios in the field of medical education are an important option to ensure learning and even promote the assessment of medical students. The need of the hour is that every medical institution should look to implement the same in their own settings and help the students in their journey to become competent.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":"39 1","pages":"71 - 72"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79175247","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