Contours of Medical Professionalism
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:3] [Pages No:125 - 127]
DOI: 10.5005/jp-journals-10082-02231 | Open Access | How to cite |
One of the widely debated issues in current times is medical professionalism. While medical professionals have proved their mettle as teachers, researchers, or patient care providers, the public perception is different and plagued by mistrust. We wish to present a series of articles to paint a neutral and holistic picture of the problem. In the present article, we explore the meaning of medical professionalism, which is still an enigma for many. Next, we identify the various factors that have led to the perceived “lack of professionalism” in various domains of functioning of a medical faculty. The factors contributing to this perception are quite complex, interrelated, and often rooted outside the ambit of medical education. Nevertheless, they call for a multipronged strategy and collective participation of all stakeholders, the faculty, students, medical establishments, regulators, and civil society for upholding the image of this noble profession.
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:6] [Pages No:128 - 133]
Keywords: Bishop score, Cesarean section, Induction of labor, Labor
DOI: 10.5005/jp-journals-10082-02224 | Open Access | How to cite |
Induction of labor is a common procedure in modern obstetrics and accounts for 20% of all deliveries. The goal of induction of labor is to preempt the natural process of labor by initiating its onset artificially by stimulating cervical ripening and uterine contractions before these occur spontaneously. The favorability of the cervix assessed by Bishop score has a substantial impact on the potential success of any labor induction. There is a consensus that the success of induced labor is directly related to the status of the cervix, with higher cesarean section rates in those with an unfavorable cervix. The review overviews about various methods, indications and contraindications, and predictors of induction of labor outcome.
Patterns of Cutaneous Drug Reactions: A Review
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:4] [Pages No:134 - 137]
Keywords: Adverse cutaneous drug reaction, Cutaneous reactions, Severe cutaneous drug reactions
DOI: 10.5005/jp-journals-10082-02223 | Open Access | How to cite |
Introduction: A cutaneous adverse drug reaction (CADR) is defined as any undesirable cutaneous clinical manifestation resulting from administration of a particular drug. The CADRs are a common problem in our country and can range from simple rash to severe reactions. Early recognition of CADRs enables early identification and withdrawal of offending drugs, thereby reducing morbidity and mortality. This article is a review of the patterns of presentation of CADR and common causative drugs in our country. Materials and methods: Literature search was performed across PubMed Central and Google Scholar search engine using key words like adverse cutaneous drug reaction, adverse cutaneous drug reaction, India, and articles selected. Results: The most common drug groups causing CADR in our country are antimicrobials, anticonvulsants and nonsteroidal anti-inflammatory drugs (NSAIDs), and antigout agents. Common presentations of CADR are in the form of exanthematous skin eruptions, urticaria, fixed drug eruption (FDE), contact dermatitis, angioedema, Stevens–Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), and various morphologic permutations and combinations. Conclusion: A CADR is a common problem and an economic burden to our healthcare. The presentation of CADR and the drugs causing CADR have a geographic variation in our country. Understanding common causative drugs, the presentation of CADR can help in early diagnosis, identification, and withdrawal of the culprit drug resulting in early recovery and preventing complications of CADR.
Effect of Adjuvant Yoga Therapy on Craving in Participants of an Alcohol De-addiction Program: A Pilot Study
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:4] [Pages No:138 - 141]
Keywords: Addiction, Alcohol dependence, Bhakti yoga, Craving, Hatha yoga
DOI: 10.5005/jp-journals-10082-02226 | Open Access | How to cite |
Aim: To study the effects of adjuvant Yoga therapy on craving in participants undergoing alcohol de-addiction program at a residential de-addiction center. Materials and methods: Thirty male patients undergoing a residential alcohol de-addiction program at the mother care de-addiction center (MCF) in Puducherry were recruited as subjects, were randomly divided into group I (15 subjects), who received Yoga therapy as per the Centre for Yoga Therapy, Education and Research (CYTER) protocol, and group II (15 subjects), who received only standard medical management, 6 days a week for 2 weeks along with their standard medical management. Alcohol Craving Questionnaire–Short Form–Revised was administered to all participants before and after study period. Data were analyzed using Student's paired and unpaired t tests for the intra- and intergroup comparisons, respectively. Results: The intragroup comparison showed a significant reduction (p < 0.001) in the craving scale in group I, whereas there was a statistically insignificant reduction in group II. The intergroup comparisons showed a significant reduction (p < 0.01) in the craving scale between groups. The delta (change) and delta% values also showed a statistically significant reduction after 2 weeks of Yoga therapy (p < 0.05 and p < 0.01, respectively). Conclusion: The findings of this study give us an indication of the positive role of adjuvant Yoga therapy in reducing craving, thus enhancing the management of alcohol dependence. We recommend that Yoga therapy could be made a regular feature in such de-addiction clinics.
Effect of Adjuvant Music Therapy on Anxiety, Depressive Symptoms, and Cognitive Functions of Patients Receiving Electroconvulsive Therapy: A Preliminary Study
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:4] [Pages No:142 - 145]
Keywords: Anxiety, Cognitive function, Depression, Electroconvulsive therapy, Music therapy
DOI: 10.5005/jp-journals-10082-02225 | Open Access | How to cite |
Background and objectives: Electroconvulsive therapy (ECT) is one of the most commonly used treatments for severe psychiatric disorders. Prior and during the ECT treatment, patients may experience varied degrees of anxiety, depressive symptoms, and cognitive impairments. Music therapy (MT) as an adjuvant psychiatric intervention has been successfully employed in many fields of medicine and psychiatry but unexplored in ECT indicative patient group. This study evaluated the effect of MT on anxiety, depression, and cognitive functions of patients receiving ECT. Materials and methods: A sample of 29 patients who received ECT as per diagnostic and treatment needs were randomized into cases (n = 14; receiving adjuvant MT) and controls (n = 15; no MT intervention) after subjecting to set criteria. Hospital Anxiety and Depression Scale (HADS) and Montreal Cognitive Assessment (MoCA) were recorded a day before and 15 days after scheduled four sessions of ECTs were over. Music therapy intervention in the form of Ahir Bhairav raga improvisation, imagery of journey of good health, recovery, and relaxation was administered for cases. Paired t tests and independent t tests were used for intragroup and intergroup comparisons, respectively. Results: Music therapy intervention resulted in within-the-group significant reduction in anxiety, depression, and improvement in cognitive functioning scores (p ≤ 0.05). Music therapy group also recorded a significant reduction in total HADS composite scores during the period of intervention. A intergroup comparison between the MT and the control groups resulted in a significant improvement in anxiety and total HADS scores. Conclusion: The study results support that MT intervention can be used in clinical settings as an adjunct with ECT, to control anxiety, depression, and cognitive functions in mentally ill patients. More studies with larger sample size are needed to confirm these findings.
Evaluation of Cell Doubling Time in C6 and Y79 Cell Lines Based on Seeding Density
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:4] [Pages No:146 - 149]
Keywords: Cell doubling time, Glioblastoma multiforme, Growth curve, Retinoblastoma
DOI: 10.5005/jp-journals-10082-02230 | Open Access | How to cite |
Aim: The purpose of this study is to evaluate the effect of seeding density on the growth pattern and measure the growth curve-related characteristics of two different central nervous system (CNS) tumor cells, i.e., C6 glioma cells and Y79 retinoblastoma (RB) cells. Materials and methods: The cell growth curve and doubling time (DT) of C6 and Y79 cells were determined by seeding 2,000, 4,000, 8,000, 16,000, and 24,000 cells/well in a 96-well plate and were incubated for different time periods such as 24, 48, 72, 96, and 120 hours. The cells were counted in a hemocytometer using a trypan blue staining method, and the optimum seeding concentration was established. Results: In this study, we observed that both the cell lines exhibited an exponential growth pattern at seeding concentrations of 2,000 and 4,000 through the incubation time of 120 hours. Interestingly, 8,000 and 16,000 cell densities reached stationary growth phase after 72 hours of exponential growth. However, at 24,000 cell density, the cells grew exponentially for just 48 hours before entering a stationary phase till 96 hours, beyond which cell death was observed with reduced cell count. Conclusion: This study implicates that both C6 and Y79 cells grow best when seeded at 4,000 cells/cm2 displaying a perfect growth curve. Furthermore, the DT for both the cell lines was observed at 24–28 hours.
Students’ Perceptions on the Use of E-Quiz (Kahoot!(R)) to Enhance Learning Engagement
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:3] [Pages No:150 - 152]
Keywords: Assessment for learning, Kahoot!, Quiz game, Student-engagement, Teaching–learning tool
DOI: 10.5005/jp-journals-10082-02218 | Open Access | How to cite |
An institution-based cross-sectional study on exploring the effectiveness of one of the electronic teaching–learning technologies (Kahoot! App) was undertaken. A 15-item e-quiz was conducted to a cohort of third-year MBBS students on the topic of Community Medicine previously taught to them. The students’ participation and feedback on the experience was quite positive. E-quiz using Kahoot! App seems to be an appropriate tool for formative assessment for the medical students and to improve their engagement in the classroom.
Are Doctor Mothers the Superbeings? An Autoethnographic Reflection
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:3] [Pages No:153 - 155]
Keywords: Autoethnography, Burnout, Work-life balance
DOI: 10.5005/jp-journals-10082-02216 | Open Access | How to cite |
Doctor mothers have dual responsibility. In addition to the professional responsibility doctor mothers are home makers as well. They are responsible for patient care, administration, teaching, research, community outreach at the same time nursing their children, providing for their basic needs, household chores (cleaning, washing, cooking etc.) and most importantly being physically present for the tender loving care of their children in times of need. The journey of doctor women into motherhood is filled with various challenges of multiple roles with dual responsibility making them vulnerable to stress and burnout. Juggling successfully between the work life balance requires them to be Superbeings to keep stress and burnout at bay. The struggles and difficulties can be turned into hope and beautiful better life with the help of supportive spouse and family, understanding and cooperative colleagues, friendly working environment and mother friendly institutional policies. Good day-care facilities with trustworthy domestic help will be the cherry on the cake.
Fluoxetine-induced Kleptomania in a Patient with Depressive Disorder: A Case Report
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:2] [Pages No:156 - 157]
Keywords: Depression, Kleptomania, Selective serotonin receptor inhibitors
DOI: 10.5005/jp-journals-10082-02229 | Open Access | How to cite |
Kleptomania is a disorder wherein the individual has an irresistible urge/impulse to steal things that are usually not of monetary value. Selective serotonin receptor inhibitors (SSRIs) are usually the first-line treatment of depressive disorders. Reports of depressed patients experiencing symptoms of kleptomania after administration of SSRI have been few. Here we present such a case of a female patient who exhibited symptoms of kleptomania following treatment with fluoxetine, an SSRI.
Substance Use Disorders and Remission Rates
[Year:2019] [Month:October-December] [Volume:2] [Number:4] [Pages:1] [Pages No:158 - 158]
Keywords: Keywords: Addiction, Remission, Substance use disorder
DOI: 10.5005/jp-journals-10082-02227 | Open Access | How to cite |