Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_78_21
Abinaya Ramachandran, Nagalakshmi Palanisamy, P. Johny, R. Ranjan
Sheehan's syndrome is postpartum hypopituitarism caused by necrosis of the pituitary gland due to severe hypotension or shock caused by massive hemorrhage during or after delivery. Patients with Sheehan's syndrome have varying degrees of pituitary hormone deficiency. There is increased sensitivity to barbiturates and opiates in patients with Sheehan's syndrome. They are more prone to hypotension, hypoxia, and hypothermia which must be addressed intraoperatively. Herein, we report successful anesthetic management of a patient with Sheehan's syndrome with distal third femoral shaft fracture for fixation who had numerous hormonal and electrolyte abnormalities. This case report emphasizes the importance of meticulous preanesthetic assessment, optimization, and perioperative management of patients with Sheehan's syndrome for successful management of the case.
{"title":"Anesthetic challenges in a case of Sheehan's syndrome posted for open reduction and internal fixation and nailing following fracture femur","authors":"Abinaya Ramachandran, Nagalakshmi Palanisamy, P. Johny, R. Ranjan","doi":"10.4103/jcrsm.jcrsm_78_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_78_21","url":null,"abstract":"Sheehan's syndrome is postpartum hypopituitarism caused by necrosis of the pituitary gland due to severe hypotension or shock caused by massive hemorrhage during or after delivery. Patients with Sheehan's syndrome have varying degrees of pituitary hormone deficiency. There is increased sensitivity to barbiturates and opiates in patients with Sheehan's syndrome. They are more prone to hypotension, hypoxia, and hypothermia which must be addressed intraoperatively. Herein, we report successful anesthetic management of a patient with Sheehan's syndrome with distal third femoral shaft fracture for fixation who had numerous hormonal and electrolyte abnormalities. This case report emphasizes the importance of meticulous preanesthetic assessment, optimization, and perioperative management of patients with Sheehan's syndrome for successful management of the case.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82943734","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_65_21
Anamika Agnihotri, Minal Mali, S. Valasareddy
A well-equipped anesthesia workstation is a boon for better anesthesia practice. Advancement in technical aspects such as respiratory gas analysis made perioperative care better and safer. Any kind of equipment troubleshoot can contribute to morbidity and mortality; however, the magnitude of these is not established.
{"title":"Erroneous display of inhalational agent..!","authors":"Anamika Agnihotri, Minal Mali, S. Valasareddy","doi":"10.4103/jcrsm.jcrsm_65_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_65_21","url":null,"abstract":"A well-equipped anesthesia workstation is a boon for better anesthesia practice. Advancement in technical aspects such as respiratory gas analysis made perioperative care better and safer. Any kind of equipment troubleshoot can contribute to morbidity and mortality; however, the magnitude of these is not established.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90935816","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_21_22
R. Kannan, S. Bakthavatchalam., S. Murugesan, B. Kumar, Bijoy Deb, Chandramohan Marimuthu, Priya M Rajendran
Background: Osteoarthritis (OA) is one of the most common musculoskeletal diseases worldwide, with pain, joint stiffness, fatigue associated with disability, and loss of physical activity. There is a need for an effective and safer alternative medication for the management of OA knee in elderly patients as the current medications possess severe risks to the patient compromising the quality of life. Methodology: The study design and setting were phase 3, randomized, open-label, multicentered, active-controlled parallel-group interventional trial conducted at secondary care centers in Puducherry. Fifty patients (50) patients with OA knee were enrolled as per study criteria and randomized to receive Joint Core™ and Jointace DN™ for 12 weeks. The outcomes were assessed using various pain scales and subscales, Short-Form Health-12 (SF-12) questionnaire, and inflammatory markers. The data obtained at baseline and weeks 4, 8, and 12 were compared and statistically analyzed. Results: Joint Core™ showed continuous reduction in the Visual Analog Scale pain scores at 4, 8, and 12 weeks and improvement in Western Ontario and McMaster Universities OA Index subscale and pain global assessment scales and good response rate in the Outcome Measures for Rheumatology Committee and OA Research Society International Standing Committee for Clinical Trials Response Criteria Initiative scores proving it to be efficacious in the treatment of OA knee compared to Jointace DN™. The safety assessed showed that Joint Core™ produces minimal gastrointestinal side effects and does not affect any organs as assessed by the laboratory parameters. Conclusion: Joint Core™ is effective and safe in the treatment of OA knee when compared to its comparator Jointace DN™. Joint Core™ can be an alternative treatment option in the patients with OA knee who are intolerant to diacerein-based combinations available to treat OA.
背景:骨关节炎(OA)是世界范围内最常见的肌肉骨骼疾病之一，与疼痛、关节僵硬、残疾相关的疲劳和身体活动的减少有关。由于目前的药物对患者的生活质量有严重的危害，因此需要一种有效且更安全的替代药物来治疗老年OA膝关节。方法:研究设计和设置为在Puducherry二级护理中心进行的随机、开放标签、多中心、主动对照平行组介入试验的3期。按照研究标准入组50例OA膝关节患者，随机接受Joint Core™和Jointace DN™治疗12周。结果评估使用各种疼痛量表和亚量表，健康-12 (SF-12)问卷和炎症标志物。在基线和第4、8、12周获得的数据进行比较和统计分析。结果:与Jointace DN™相比，Joint Core™在4、8和12周的视觉模拟量表疼痛评分持续下降，在Western Ontario和McMaster university OA Index亚量表和疼痛总体评估量表中有所改善，并且在风湿病委员会结局测量指标和OA研究学会国际临床试验反应标准倡议评分中有良好的缓解率，证明它在治疗OA膝关节方面比Jointace DN™有效。安全性评估显示，Joint Core™产生最小的胃肠道副作用，并且根据实验室参数评估不影响任何器官。结论:与比较产品Jointace DN™相比，Joint Core™治疗OA膝关节有效且安全。关节核心™可以作为OA膝关节患者的替代治疗选择，这些患者对现有的以糖尿素为基础的联合治疗OA不耐受。
{"title":"A randomized, open-label, multicentered parallel-group clinical study to evaluate the efficacy and safety of Joint Core™ compared to Jointace DN™ in osteoarthritis patients","authors":"R. Kannan, S. Bakthavatchalam., S. Murugesan, B. Kumar, Bijoy Deb, Chandramohan Marimuthu, Priya M Rajendran","doi":"10.4103/jcrsm.jcrsm_21_22","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_21_22","url":null,"abstract":"Background: Osteoarthritis (OA) is one of the most common musculoskeletal diseases worldwide, with pain, joint stiffness, fatigue associated with disability, and loss of physical activity. There is a need for an effective and safer alternative medication for the management of OA knee in elderly patients as the current medications possess severe risks to the patient compromising the quality of life. Methodology: The study design and setting were phase 3, randomized, open-label, multicentered, active-controlled parallel-group interventional trial conducted at secondary care centers in Puducherry. Fifty patients (50) patients with OA knee were enrolled as per study criteria and randomized to receive Joint Core™ and Jointace DN™ for 12 weeks. The outcomes were assessed using various pain scales and subscales, Short-Form Health-12 (SF-12) questionnaire, and inflammatory markers. The data obtained at baseline and weeks 4, 8, and 12 were compared and statistically analyzed. Results: Joint Core™ showed continuous reduction in the Visual Analog Scale pain scores at 4, 8, and 12 weeks and improvement in Western Ontario and McMaster Universities OA Index subscale and pain global assessment scales and good response rate in the Outcome Measures for Rheumatology Committee and OA Research Society International Standing Committee for Clinical Trials Response Criteria Initiative scores proving it to be efficacious in the treatment of OA knee compared to Jointace DN™. The safety assessed showed that Joint Core™ produces minimal gastrointestinal side effects and does not affect any organs as assessed by the laboratory parameters. Conclusion: Joint Core™ is effective and safe in the treatment of OA knee when compared to its comparator Jointace DN™. Joint Core™ can be an alternative treatment option in the patients with OA knee who are intolerant to diacerein-based combinations available to treat OA.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90761931","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_18_21
Chinedu Enegide, C. Ofili, U. Agatemor, D. Jacob
Background: Malaria has maintained its historic threat to global health, with nearly 40% of the world's population being at risk of its mayhem. The increasing cases of resistance by Plasmodium parasite to the currently available antimalarial agents have led to increased scientific screening of medicinal plants for the possible development of newer agents, both for treatment and chemoprophylaxis against malaria. This study was designed to evaluate the prophylactic antimalarial activity of Combretum nigricans hydromethanol crude leaf extract in mice. Materials and Methods: The prophylactic activity of C. nigricans hydromethanol crude leaf extract was evaluated using the method illustrated by Peters. Six groups containing five mice each were used for the study. Group 1 (control) received distilled water 10 ml/kg b.w. p.o., Groups 2–4 were treated with 200, 400, and 800 mg extract/kg b.w. p.o., respectively, Group 5 mice were treated with chloroquine 10 mg/kg b.w. p.o., whereas Group 6 mice were treated with artesunate 10 mg/kg b.w. p.o. Results: The result showed significant (P < 0.05) chemoprophylactic activity in all treated groups compared with the control group. The chemoprophylactic activity of the extract was 55.4, 61.6, and 79.5% for 200, 400, and 800 mg/kg, respectively. A dose-related increase in mice body weight was also observed in the extract-treated groups. Phytochemical screening of the extract revealed the presence of several important active principles, including alkaloids, saponins, and flavonoids. Conclusion: The present study revealed that C. nigricans hydromethanol crude leaf extract possesses significant chemoprophylactic activity against malaria.
{"title":"The prophylactic antimalarial activity of Combretum nigricans hydromethanol crude extract in mice","authors":"Chinedu Enegide, C. Ofili, U. Agatemor, D. Jacob","doi":"10.4103/jcrsm.jcrsm_18_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_18_21","url":null,"abstract":"Background: Malaria has maintained its historic threat to global health, with nearly 40% of the world's population being at risk of its mayhem. The increasing cases of resistance by Plasmodium parasite to the currently available antimalarial agents have led to increased scientific screening of medicinal plants for the possible development of newer agents, both for treatment and chemoprophylaxis against malaria. This study was designed to evaluate the prophylactic antimalarial activity of Combretum nigricans hydromethanol crude leaf extract in mice. Materials and Methods: The prophylactic activity of C. nigricans hydromethanol crude leaf extract was evaluated using the method illustrated by Peters. Six groups containing five mice each were used for the study. Group 1 (control) received distilled water 10 ml/kg b.w. p.o., Groups 2–4 were treated with 200, 400, and 800 mg extract/kg b.w. p.o., respectively, Group 5 mice were treated with chloroquine 10 mg/kg b.w. p.o., whereas Group 6 mice were treated with artesunate 10 mg/kg b.w. p.o. Results: The result showed significant (P < 0.05) chemoprophylactic activity in all treated groups compared with the control group. The chemoprophylactic activity of the extract was 55.4, 61.6, and 79.5% for 200, 400, and 800 mg/kg, respectively. A dose-related increase in mice body weight was also observed in the extract-treated groups. Phytochemical screening of the extract revealed the presence of several important active principles, including alkaloids, saponins, and flavonoids. Conclusion: The present study revealed that C. nigricans hydromethanol crude leaf extract possesses significant chemoprophylactic activity against malaria.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79869616","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_91_21
J. Rissardo, Ana Letícia Fornari Caprara
{"title":"The role of copeptin in the prognosis of ischemic stroke","authors":"J. Rissardo, Ana Letícia Fornari Caprara","doi":"10.4103/jcrsm.jcrsm_91_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_91_21","url":null,"abstract":"","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82551252","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_94_21
M. Cherian, Siddhant Thampi
Although enteric fever is a relatively common disease in countries mainly belonging to South Asia (incidence of around 100/100,000 persons per year) where there is poor hygiene, its complications in the form of hemophagocytic lymphohistiocytosis (HLH) are rare but have been documented before. Here, we present the case of a 19-year-old boy diagnosed with enteric fever with secondary HLH possibly induced by the COVID-19 vaccine (COVISHIELD ChAdOx1 nCoV-19 coronavirus vaccine [Recombinant]). Although there is no proof that the vaccine could have induced secondary HLH, its possibility cannot be ruled out simultaneously. Early identification and diagnosis of HLH are of extreme importance. If not treated correctly, mortality can reach up to 40%. In this article, we would like to press upon the clinical presentation, diagnosis, and management of such a case and the possibility of this presentation being induced by the COVID-19 vaccine.
{"title":"A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine","authors":"M. Cherian, Siddhant Thampi","doi":"10.4103/jcrsm.jcrsm_94_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_94_21","url":null,"abstract":"Although enteric fever is a relatively common disease in countries mainly belonging to South Asia (incidence of around 100/100,000 persons per year) where there is poor hygiene, its complications in the form of hemophagocytic lymphohistiocytosis (HLH) are rare but have been documented before. Here, we present the case of a 19-year-old boy diagnosed with enteric fever with secondary HLH possibly induced by the COVID-19 vaccine (COVISHIELD ChAdOx1 nCoV-19 coronavirus vaccine [Recombinant]). Although there is no proof that the vaccine could have induced secondary HLH, its possibility cannot be ruled out simultaneously. Early identification and diagnosis of HLH are of extreme importance. If not treated correctly, mortality can reach up to 40%. In this article, we would like to press upon the clinical presentation, diagnosis, and management of such a case and the possibility of this presentation being induced by the COVID-19 vaccine.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82553131","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_81_21
Aiswarya Raj, Shreya Cherian, Shuba Srinivasan
Background: Vitamin D insufficiency affects nearly 50% of the population worldwide. Inadequate serum Vitamin D levels are associated with multiple conditions such as secondary hyperparathyroidism and increased fracture risk. Multiple studies carried out also showed a correlation between Vitamin D deficiency and occurrence of diabetes and hypertension (HTN) in these deficient individuals. This study aimed to determine the serum levels of Vitamin D among patients frequenting a tertiary care hospital in Wayanad and the associations with sunlight exposure, gender, dietary factors, and diabetes and HTN. Settings and Design: Cross-sectional study. Materials and Methods: Hundred patients were randomly selected from the outpatient department over 6 months and asked to fill up a questionnaire. Vitamin D analysis was done by Elecsys Vitamin D total assay. Statistical analysis used was IBM SPSS statistics for Windows, version 20.0: Association between continuous data was determined using t-test/Mann–Whitney test depending on normality of data and association between categorical variables was determined using Pearson's Chi-square test. Results: Fifty-seven percentage of patients had Vitamin D deficiency. Significantly lower values of Vitamin D were seen among women. Conclusions: The median Vitamin D levels in men were 22.785 ng/ml and 17.81 ng/ml in women. No association was established between >1 h of daily sunlight exposure, the prevalence of diabetes and HTN, and daily consumption of dairy products and Vitamin D deficiency.
背景:全球近50%的人口受到维生素D缺乏的影响。血清维生素D水平不足与继发性甲状旁腺功能亢进和骨折风险增加等多种疾病有关。多项研究还表明，维生素D缺乏与这些缺乏维生素D的人患糖尿病和高血压(HTN)之间存在相关性。本研究旨在确定在Wayanad三级医院就诊的患者血清中维生素D的水平及其与阳光照射、性别、饮食因素、糖尿病和HTN的关系。设置与设计:横断面研究。材料与方法:在门诊随机抽取100例6个月以上的患者填写问卷。维生素D分析采用Elecsys维生素D总含量测定法。统计分析采用IBM SPSS for Windows, version 20.0统计数据:根据数据的正态性，使用t检验/ Mann-Whitney检验确定连续数据之间的相关性，使用Pearson卡方检验确定分类变量之间的相关性。结果:57%的患者缺乏维生素D。女性的维生素D含量明显较低。结论:男性维生素D水平中位数为22.785 ng/ml，女性为17.81 ng/ml。每日日照时间>1小时、糖尿病和HTN患病率、每日乳制品消费量和维生素D缺乏症之间没有关联。
{"title":"Vitamin D levels among adults in a tertiary care hospital in Wayanad","authors":"Aiswarya Raj, Shreya Cherian, Shuba Srinivasan","doi":"10.4103/jcrsm.jcrsm_81_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_81_21","url":null,"abstract":"Background: Vitamin D insufficiency affects nearly 50% of the population worldwide. Inadequate serum Vitamin D levels are associated with multiple conditions such as secondary hyperparathyroidism and increased fracture risk. Multiple studies carried out also showed a correlation between Vitamin D deficiency and occurrence of diabetes and hypertension (HTN) in these deficient individuals. This study aimed to determine the serum levels of Vitamin D among patients frequenting a tertiary care hospital in Wayanad and the associations with sunlight exposure, gender, dietary factors, and diabetes and HTN. Settings and Design: Cross-sectional study. Materials and Methods: Hundred patients were randomly selected from the outpatient department over 6 months and asked to fill up a questionnaire. Vitamin D analysis was done by Elecsys Vitamin D total assay. Statistical analysis used was IBM SPSS statistics for Windows, version 20.0: Association between continuous data was determined using t-test/Mann–Whitney test depending on normality of data and association between categorical variables was determined using Pearson's Chi-square test. Results: Fifty-seven percentage of patients had Vitamin D deficiency. Significantly lower values of Vitamin D were seen among women. Conclusions: The median Vitamin D levels in men were 22.785 ng/ml and 17.81 ng/ml in women. No association was established between >1 h of daily sunlight exposure, the prevalence of diabetes and HTN, and daily consumption of dairy products and Vitamin D deficiency.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87049261","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_92_21
Mohita Singh, S. Sachdev, Amrita Singh
Background: Human intelligence is the intellectual prowess of humans, which is marked by high cognition, motivation, and self-awareness. Leadership is the art of motivating a group of people to achieve common goals. Risk-taking is conscious or nonconscious controlled behavior with perceived uncertainty about its outcome. The present study was designed to assess the risk-taking ability of an individual that is required to be a good leader along with intelligence, ability to handle stress, and the effect of self-control on these parameters. Materials and Methods: The study was performed in two phases. In the first phase, the subjects were asked to fill risk-taking questionnaire, and their leadership effectiveness and intelligence levels were assessed. Their basal level of stress parameters and Stroop test were assessed. A stressor was introduced and stress parameters, Stroop test were again assessed. In the second phase of the study, the subjects were asked to practice moderate-intensity physical activity for 15 days and its effect was seen on all the above parameters. Results: Statistically significant and nonsignificant differences were obtained on comparison between baseline and poststress values; and also between baseline and postexercise values in all the three groups namely high-risk takers, moderate risk-takers and nonrisk takers at different level of significance. Comparison between first phase and second phase of the study yielded significant and non-significant results. Conclusion: Self-control improves leadership effectiveness. Exercise helps reduce stress response that aids in better decision-making quality required for being a leader.
{"title":"Assessment of risk-taking behavior, leadership effectiveness, intelligence, ability to handle stress in college-going students, and effect of self-control on these parameters","authors":"Mohita Singh, S. Sachdev, Amrita Singh","doi":"10.4103/jcrsm.jcrsm_92_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_92_21","url":null,"abstract":"Background: Human intelligence is the intellectual prowess of humans, which is marked by high cognition, motivation, and self-awareness. Leadership is the art of motivating a group of people to achieve common goals. Risk-taking is conscious or nonconscious controlled behavior with perceived uncertainty about its outcome. The present study was designed to assess the risk-taking ability of an individual that is required to be a good leader along with intelligence, ability to handle stress, and the effect of self-control on these parameters. Materials and Methods: The study was performed in two phases. In the first phase, the subjects were asked to fill risk-taking questionnaire, and their leadership effectiveness and intelligence levels were assessed. Their basal level of stress parameters and Stroop test were assessed. A stressor was introduced and stress parameters, Stroop test were again assessed. In the second phase of the study, the subjects were asked to practice moderate-intensity physical activity for 15 days and its effect was seen on all the above parameters. Results: Statistically significant and nonsignificant differences were obtained on comparison between baseline and poststress values; and also between baseline and postexercise values in all the three groups namely high-risk takers, moderate risk-takers and nonrisk takers at different level of significance. Comparison between first phase and second phase of the study yielded significant and non-significant results. Conclusion: Self-control improves leadership effectiveness. Exercise helps reduce stress response that aids in better decision-making quality required for being a leader.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85461077","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}
Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_33_22
A. Faheem, Ilambaridhi Balasubramanian, V. Menon
Gender dysphoria (GD) is a condition where one feels distressed about one's assigned gender at birth. The construct has undergone successive revisions in understanding and terminology in contemporary classificatory systems. Currently, the terms “GD” and “gender incongruence” are used in the Diagnostic and Statistical Manual of Mental Disorders-5 and International Classification of Diseases-11, respectively. However, there continues to be a lack of clarity on terminologies used in describing related concepts. Sex is an inflexible categorical concept, whereas gender is a social construct. It is vital to understand and distinguish between sexual orientation and gender identity. Clarity in understanding and usage of these and other related terms in the field is central to addressing the issue of stigma faced by the members of the lesbian, gay, bisexual, transgender, queer, intersex, asexual+ (LGBTQIA+) community, an umbrella term used to denote individuals with nonconformative gender identity and orientation. Several clinical and ethical issues exist with diagnosing and managing GD such as optimal treatment of minors, fertility after gender affirming treatments, and dissatisfaction following gender reassignment. To clarify these issues and facilitate access to care for LGBTQIA+ individuals, the GD category has been retained in the classificatory systems despite activists calling for dropping the term from diagnostic manuals to minimize associated stigma. Other controversies in the area include inclusion of childhood GD diagnosis on the grounds of uncertainty of longitudinal trajectory of the clinical phenomenon and use of nonevidence-based, potentially harmful, treatments such as “conversion therapies.” There is a need to sensitize clinicians about these issues and mainstream them in the assessment and management of GD. Such an approach would aid development of culturally sensitive and evidence-based treatments for gender variance.
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Pub Date : 2022-01-01DOI: 10.4103/jcrsm.jcrsm_59_21
Mahalaxmi S. Petimani, N. Bhat, P. Preethishree, Prabhakar Adake
Introduction: COVID pandemic created a difficult situation for the medical fraternity. Many health-care practitioners achieved their work through telemedicine. For delivering better patient care, especially during the pandemic, the present study was conducted to assess the Knowledge, Attitude, and Practices (KAP) of telemedicine among healthcare practitioners of our institution. Materials and Methods: A prevalidated questionnaire form containing 13 questions on KAP of telemedicine was circulated to health-care practitioners through Google Form by snowball technique. A total of 96 responses were collected. Descriptive statistical method was applied and results are expressed in percentages. Results: Out of 96 responses, 61 (63.5%) were from men and 35 (36.5%) from women. About 63.5% of health-care practitioners were aware of the term telemedicine, 22.9% were aware but not practising, and 13.5% were aware and currently practising telemedicine. Regarding the mode of telemedicine, 42.7% preferred video calling (Skype/hangout/WhatsApp), followed by 27.1% personalized website (HODO/Healzapp), 17.7% by text message (SMS/Email/Fax), and 12.5% for an audio phone call. With respect to taking consent, 59.4% expressed that consent is required and 40.6% expressed that consent is implied when the patient initiates the call. Regarding challenges in telemedicine, 83.3% expressed that clinical examinations cannot be done, 76% for connectivity issues, 55.2% worried about patient safety, and 54.2% for medico-legal issues. 53.1% of health-care practitioners would like to charge the same fees for telemedicine, followed by 27.1% lower fees, 12.5% no fees, and 7.3% would like to charge higher fees than routine. Conclusion: Telemedicine is essential for patient care, especially during a pandemic. Hence, National Medical Commission should incorporate telemedicine modules in the undergraduate curriculum for better patient care.
{"title":"Knowledge, attitude, and Practices of telemedicine among the health-care practitioners during COVID pandemic: A cross-sectional study","authors":"Mahalaxmi S. Petimani, N. Bhat, P. Preethishree, Prabhakar Adake","doi":"10.4103/jcrsm.jcrsm_59_21","DOIUrl":"https://doi.org/10.4103/jcrsm.jcrsm_59_21","url":null,"abstract":"Introduction: COVID pandemic created a difficult situation for the medical fraternity. Many health-care practitioners achieved their work through telemedicine. For delivering better patient care, especially during the pandemic, the present study was conducted to assess the Knowledge, Attitude, and Practices (KAP) of telemedicine among healthcare practitioners of our institution. Materials and Methods: A prevalidated questionnaire form containing 13 questions on KAP of telemedicine was circulated to health-care practitioners through Google Form by snowball technique. A total of 96 responses were collected. Descriptive statistical method was applied and results are expressed in percentages. Results: Out of 96 responses, 61 (63.5%) were from men and 35 (36.5%) from women. About 63.5% of health-care practitioners were aware of the term telemedicine, 22.9% were aware but not practising, and 13.5% were aware and currently practising telemedicine. Regarding the mode of telemedicine, 42.7% preferred video calling (Skype/hangout/WhatsApp), followed by 27.1% personalized website (HODO/Healzapp), 17.7% by text message (SMS/Email/Fax), and 12.5% for an audio phone call. With respect to taking consent, 59.4% expressed that consent is required and 40.6% expressed that consent is implied when the patient initiates the call. Regarding challenges in telemedicine, 83.3% expressed that clinical examinations cannot be done, 76% for connectivity issues, 55.2% worried about patient safety, and 54.2% for medico-legal issues. 53.1% of health-care practitioners would like to charge the same fees for telemedicine, followed by 27.1% lower fees, 12.5% no fees, and 7.3% would like to charge higher fees than routine. Conclusion: Telemedicine is essential for patient care, especially during a pandemic. Hence, National Medical Commission should incorporate telemedicine modules in the undergraduate curriculum for better patient care.","PeriodicalId":32638,"journal":{"name":"Journal of Current Research in Scientific Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74033207","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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