The National medical journal of India最新文献

Japan's modern history begins with the Meiji Restoration in 1868. Prior to that, Japan was largely a secluded society (Sakoku). The first medical journal in Japan was in the pre- Meiji era and was the Taisei-mei-i-ikô (A Compendium of Articles by Renowned Western Doctors), published from 1836 to 1842. Its editor was Mituskuri Genpo; the journal comprised translations of Dutch journals to Japanese (for the first six issues) and Chinese script (for the last two issues). In 1869, William Willis, a British doctor, established the Nikko Kibun (Records of Daily Lectures). From December 1869 to 1870, a Dutch physician, Antonius F. Bauduin, published 11 monthly issues of a journal, which he also titled Nikko Kibun. In 1872, Stuart Eldridge, an American native, published Kin- Sei-I-Setsu (Journal of Modern Medicine), the first Japanese medical journal to publish articles by researchers based in Japan. June 1873 saw the first journal edited by a Japanese physician; Bun-en-Zasshi (Journal of Literary Bower), edited by Motonori Tashiro. We propose that the Journal of Literary Bower happens to be an erroneous translation, and the term should mean Journal of Culture and Thought. Among the 69 medical journals established in Japan between 1873 and 1889, 23 ceased to exist within 1 year.

The National Medical Commission implemented a competency-based medical curriculum (CBME) for medical students from 2019 to enhance their learning, emphasising self-directed learning, life-long learning, and professional skills. The new curriculum emphasises novel teaching- learning (TL) methods like problem-based learning (PBL), and emphasis has been placed on the psychomotor and affective domains of learning in addition to the cognitive domain. Despite the shift in TL methods, the potential opportunities and challenges in adopting the PBL-based approach are under-discussed in the Indian literature. We discuss PBL as a mode of TL in psychiatry in the CBME.

Eosinophilic pneumonia is rare and characterized by excessive accumulation of eosinophils in the alveolar macrophages and interstitium. The presentation can be acute or chronic. The patient can also present with respiratory failure requiring intensive support. These patients may have bronchial asthma at presentation or may be diagnosed with the same later. Diffuse alveolar haemorrhage, a rare complication of idiopathic chronic eosinophilic pneumonia, is life-threatening requiring urgent and aggressive investigation and management. We report a young male who had pneumonia and haemoptysis and was diagnosed to have idiopathic chronic eosinophilic pneumonia and diffuse alveolar haemorrhage.

Background The doctor-patient relationship is an important component of modern medicine. It is essenstial to respect the patient's views while also conveying the appropriate treatment protocols to them. We aimed to determine the characteristics that the general public in India considers important in a 'Good doctor' who would treat them or a member of their family. Methods We did a cross-sectional questionnaire-based study including 402 participants. The questionnaire consisted of 21 physicians' characteristics, with 7 characteristics in each of 3 domains: professional expertise, humanism, and autonomy. Participants were asked to select 4 qualities they valued most. Descriptive statistics were calculated and summarized. Categorical variables were analysed using the Chi-square test. The level of significance was set at 5%. Results The majority of patients (273) wanted their doctor to provide a clear explanation of their disease, while 218 patients wanted their doctor to be honest about their illness. The most commonly preferred domain was autonomy (84.3%), 75.1% chose humanism as the preferred characteristic while 74.6% favoured professional expertise. Conclusion The growing exposure to health education has changed people's perceptions from 'only doctors decision' to 'shared decision-making'. Open and transparent communication with patients reinforces trust in the doctor- patient relationship and must go hand in hand with humanism and professional competence.