Background and Objectives: We aimed to assess the knowledge, attitudes, and practices regarding COVID-19 among general medicine outpatients. Materials and Methods: We recruited people attending a general medicine outpatient department of a tertiary hospital. We assessed knowledge, attitudes, and practices toward COVID-19 using a specially designed questionnaire. Results: Two hundred and sixty-eight participants were recruited. The study documented high knowledge, positive attitude, and good practice among patients and their relatives. Knowledge was significantly associated with higher education (odds ratio [OR] = 2.87; 95% confidence interval [CI] = 1.127.36; P = 0.029) and the use of the Internet as a source of information about COVID-19 (OR = 5.17; 95% CI = 2.2611.85; P = 0.000). However, Internet use (OR = 0.23; 95% CI = 0.100.54; P = 0.001) was associated with a more negative attitude. Good practice was associated with high levels of knowledge (OR = 2.20; 95% CI = 1.223.96; P = 0.009), a positive attitude (OR = 2.31; 95% CI = 1.134.71; P = 0.022), and a professional or semi-professional occupation (OR = 2.80; 95% CI = 1.077.32; P = 0.036). Residence outside of the district (OR = 2.79; 95% CI = 1.077.32; P = 0.036) was associated with better practice related to COVID-19 suggesting people who travel greater distances for health care may be more motivated at maintaining better practice. Conclusion: The study found that good practice in relation to COVID-19 was associated with higher levels of knowledge, a positive attitude, professional occupation, and distance traveled to reach hospital.
背景与目的:本研究旨在了解全科门诊患者对COVID-19的知识、态度和行为。材料和方法:我们招募了在某三级医院普通科门诊就诊的患者。我们使用专门设计的问卷评估了对COVID-19的知识、态度和做法。结果:共招募了268名参与者。该研究记录了患者及其家属的高知识、积极态度和良好行为。知识与高等教育显著相关(优势比[OR] = 2.87;95%置信区间[CI] = 1.127.36;P = 0.029)和使用互联网作为COVID-19信息来源(OR = 5.17;95% ci = 2.2611.85;P = 0.000)。然而，互联网使用(OR = 0.23;95% ci = 0.100.54;P = 0.001)与更消极的态度相关。良好的实践与高水平的知识相关(OR = 2.20;95% ci = 1.223.96;P = 0.009)，积极态度(OR = 2.31;95% ci = 1.134.71;P = 0.022)，专业或半专业职业(or = 2.80;95% ci = 1.077.32;P = 0.036)。区外居住(OR = 2.79;95% ci = 1.077.32;P = 0.036)与COVID-19相关的更好实践相关，这表明长途跋涉的人可能更有动力保持更好的实践。结论:研究发现，与COVID-19相关的良好做法与更高的知识水平、积极的态度、专业的职业和到医院的距离有关。
{"title":"Knowledge, attitudes, and practice to COVID 19 infection among outpatients attending a general medicine department","authors":"Amita Jacob, J. Rebekah, R. Carey","doi":"10.4103/cmi.cmi_79_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_79_22","url":null,"abstract":"Background and Objectives: We aimed to assess the knowledge, attitudes, and practices regarding COVID-19 among general medicine outpatients. Materials and Methods: We recruited people attending a general medicine outpatient department of a tertiary hospital. We assessed knowledge, attitudes, and practices toward COVID-19 using a specially designed questionnaire. Results: Two hundred and sixty-eight participants were recruited. The study documented high knowledge, positive attitude, and good practice among patients and their relatives. Knowledge was significantly associated with higher education (odds ratio [OR] = 2.87; 95% confidence interval [CI] = 1.127.36; P = 0.029) and the use of the Internet as a source of information about COVID-19 (OR = 5.17; 95% CI = 2.2611.85; P = 0.000). However, Internet use (OR = 0.23; 95% CI = 0.100.54; P = 0.001) was associated with a more negative attitude. Good practice was associated with high levels of knowledge (OR = 2.20; 95% CI = 1.223.96; P = 0.009), a positive attitude (OR = 2.31; 95% CI = 1.134.71; P = 0.022), and a professional or semi-professional occupation (OR = 2.80; 95% CI = 1.077.32; P = 0.036). Residence outside of the district (OR = 2.79; 95% CI = 1.077.32; P = 0.036) was associated with better practice related to COVID-19 suggesting people who travel greater distances for health care may be more motivated at maintaining better practice. Conclusion: The study found that good practice in relation to COVID-19 was associated with higher levels of knowledge, a positive attitude, professional occupation, and distance traveled to reach hospital.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76770748","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}
Background and Aims: This research examined anxiety, depression, and stress levels in female medical students during the second wave of coronavirus disease 2019 (COVID-19) and the association between these variables and family functioning, coping, and personality factors. Materials and Methods: The cross-sectional online observational study was conducted using Google Forms. Anxiety, depression, and stress were assessed using the Depression, Anxiety, and Stress Scale (DASS-21), family functioning using Family Adaptability, Partnership, Growth, Affection, and Resolve, coping using Brief COPE, and personality using the Big Five Inventory 10-item version. Results: Out of 750 students, 500 thoroughly responded to the online survey. Based on the DASS-21 scores, 57.6% of participants had some stress, 63.4% had some anxiety, and 54.8% had some degree of depression. Anxiety, depression, and stress were highly correlated with each other. Stress, anxiety, and depression were weakly linked with problem-focused coping, moderately correlated with emotion-focused coping, and strongly correlated with avoidant coping. Better family functioning was associated with lesser self-reported stress, anxiety, and depression. Neuroticism was associated with higher anxiety, depression, and stress, while agreeableness and conscientiousness were with lower psychological distress. Conclusion: High level of psychological suffering was prevalent among medical students during the COVID-19 pandemic. Their anxiety, depression, and stress must be adequately managed.
{"title":"Anxiety, depression and stress among female medical students during the second wave of the COVID-19 pandemic and their association with family functioning, coping and personality","authors":"G. Mallaram, Subahani Shaik, D. Kattula","doi":"10.4103/cmi.cmi_81_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_81_22","url":null,"abstract":"Background and Aims: This research examined anxiety, depression, and stress levels in female medical students during the second wave of coronavirus disease 2019 (COVID-19) and the association between these variables and family functioning, coping, and personality factors. Materials and Methods: The cross-sectional online observational study was conducted using Google Forms. Anxiety, depression, and stress were assessed using the Depression, Anxiety, and Stress Scale (DASS-21), family functioning using Family Adaptability, Partnership, Growth, Affection, and Resolve, coping using Brief COPE, and personality using the Big Five Inventory 10-item version. Results: Out of 750 students, 500 thoroughly responded to the online survey. Based on the DASS-21 scores, 57.6% of participants had some stress, 63.4% had some anxiety, and 54.8% had some degree of depression. Anxiety, depression, and stress were highly correlated with each other. Stress, anxiety, and depression were weakly linked with problem-focused coping, moderately correlated with emotion-focused coping, and strongly correlated with avoidant coping. Better family functioning was associated with lesser self-reported stress, anxiety, and depression. Neuroticism was associated with higher anxiety, depression, and stress, while agreeableness and conscientiousness were with lower psychological distress. Conclusion: High level of psychological suffering was prevalent among medical students during the COVID-19 pandemic. Their anxiety, depression, and stress must be adequately managed.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82421804","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}
Background: In the recent past, Internet addiction has become a topic of concern, with studies reporting its association with various negative consequences, such as decreased academic performance, compromised mental health, impaired social functioning and reduced quality of life. Despite the growing concern about the impact of internet addiction on medical education in India, the existing literature on this topic is limited and lacks a comprehensive synthesis of evidence. Aims and Objectives: This meta-analysis aims to offer a significant understanding regarding the correlation between internet addiction and medical education. Materials and Methods: The present meta-analysis followed the guidelines by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) for conducting as well as, reporting the meta-analyses. Studies conducted in various regions of India were included and were published between 2010 and 2022. Results and Analysis: The pooled effect size for academic performance, as measured by exam scores was SMD -0.36 (95% CI: -0.52 to -0.21), indicated to have a significant detrimental effect of internet addiction on academic performance. For mental health indicators, the pooled effect size was found to be having a SMD 0.45 (95% CI: 0.22 to 0.69, P<0.001), indicating a significant positive association. Conclusion: Internet addiction is associated with various negative consequences, such as decreased academic performance, increased risk of mental health disorders, and impaired interpersonal relationships. The results also highlight the need for awareness, prevention, and intervention programs targeted at addressing internet addiction among the students in medical education.
{"title":"Internet addiction and its impact on medical education in India: A meta-analysis","authors":"VenkataVenu Gopala Raju Srijampana, AnandaReddy Endreddy, Chaitanya Gujjarlapudi, AshaParveen Sayyad","doi":"10.4103/cmi.cmi_79_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_79_23","url":null,"abstract":"Background: In the recent past, Internet addiction has become a topic of concern, with studies reporting its association with various negative consequences, such as decreased academic performance, compromised mental health, impaired social functioning and reduced quality of life. Despite the growing concern about the impact of internet addiction on medical education in India, the existing literature on this topic is limited and lacks a comprehensive synthesis of evidence. Aims and Objectives: This meta-analysis aims to offer a significant understanding regarding the correlation between internet addiction and medical education. Materials and Methods: The present meta-analysis followed the guidelines by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) for conducting as well as, reporting the meta-analyses. Studies conducted in various regions of India were included and were published between 2010 and 2022. Results and Analysis: The pooled effect size for academic performance, as measured by exam scores was SMD -0.36 (95% CI: -0.52 to -0.21), indicated to have a significant detrimental effect of internet addiction on academic performance. For mental health indicators, the pooled effect size was found to be having a SMD 0.45 (95% CI: 0.22 to 0.69, P<0.001), indicating a significant positive association. Conclusion: Internet addiction is associated with various negative consequences, such as decreased academic performance, increased risk of mental health disorders, and impaired interpersonal relationships. The results also highlight the need for awareness, prevention, and intervention programs targeted at addressing internet addiction among the students in medical education.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134883905","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}
Dyspnea in a woman of reproductive age group is a common condition encountered in clinical practice. Neoplasms of the female genital tract may also present with dyspnea creating diagnostic dilemma. A detailed history and thorough evaluation helps to clinch the diagnosis in such cases. We report the case of a reproductive-aged nulliparous woman who presented with dyspnea having multiple pulmonary solid nodules diagnosed with invasive mole by histopathology.
{"title":"A rare cause of acute breathlessness in a nulliparous female","authors":"Vijayan Sharmila, Padmapriya Balakrishnan","doi":"10.4103/cmi.cmi_64_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_64_23","url":null,"abstract":"Dyspnea in a woman of reproductive age group is a common condition encountered in clinical practice. Neoplasms of the female genital tract may also present with dyspnea creating diagnostic dilemma. A detailed history and thorough evaluation helps to clinch the diagnosis in such cases. We report the case of a reproductive-aged nulliparous woman who presented with dyspnea having multiple pulmonary solid nodules diagnosed with invasive mole by histopathology.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884948","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}
Sir, I am compelled to delve into the discourse ignited by the editorial “Changing Contour of Healthcare,”[1] which brilliantly navigates the tides of change that are shaping the very essence of medical practice. The editorial meticulously unveils the intricate interplay between technological advancements, societal shifts, and their reverberations across clinical practice, medical education, research, and governance. The editorial appropriately cites the philosopher Heraclitus, reminding us that change is not merely a transient occurrence but the very essence of existence. The COVID-19 pandemic, in its grim wake, has become a harbinger of profound transformations that have propelled health care into an era of unprecedented metamorphosis. The pandemic, as a crucible of necessity, has not only fast-tracked the adoption of telemedicine, wearable devices, and advanced therapies but also ignited a blazing momentum toward the fusion of artificial intelligence (AI) with medical science. The editorial's exploration of the ethical dimensions inherent in this new realm is pivotal. AI, epitomized by the advent of ChatGPT, has demonstrated its prowess in surpassing traditional benchmarks in medical licensing examinations, thereby igniting queries that transcend mere fascination. The pertinence of ethics, validation, and sustainability in this transformation is paramount. While AI has cast a compelling spell over medical education and practice, the validity of its insights, the preservation of patient privacy, and the potential for exacerbating disparities necessitate unflinching scrutiny. While echoing the editorial's sentiments, we wish to introduce some additional dimensions to the dialog: 1. Ethics and humanism in AI: As AI algorithms delve deeper into medical diagnostics and prognostics, we must not relinquish the ethical foundation and humanistic ethos that underpin medical practice. The symbiotic relationship between AI's computational prowess and the healer's empathic touch is a testament to the potential for collaboration rather than replacement[2] 2. Resilient systems and preparedness: The editorial rightly extols the value of population-based research in predicting health-care trends and enhancing institutional preparedness. The COVID-19 pandemic has unveiled the fragility of existing health-care systems. Nurturing robust, adaptive frameworks that can pivot in response to emerging challenges becomes paramount in safeguarding public health[3] 3. Global collaborations in AI research: As the nexus between AI and health-care expands, fostering cross-disciplinary and global collaborations becomes nonnegotiable. The challenges posed by AI-driven innovations, ranging from algorithmic biases to data integrity, transcend geographical boundaries. It is our collective responsibility to forge international partnerships that harness AI's potential for collective human benefit[4] 4. Innovations in medical education: The intersection of AI and medical education n
{"title":"Delving deeper into the transformative landscape of health care","authors":"SheikhMohd Saleem, ShahSumaya Jan","doi":"10.4103/cmi.cmi_122_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_122_23","url":null,"abstract":"Sir, I am compelled to delve into the discourse ignited by the editorial “Changing Contour of Healthcare,”[1] which brilliantly navigates the tides of change that are shaping the very essence of medical practice. The editorial meticulously unveils the intricate interplay between technological advancements, societal shifts, and their reverberations across clinical practice, medical education, research, and governance. The editorial appropriately cites the philosopher Heraclitus, reminding us that change is not merely a transient occurrence but the very essence of existence. The COVID-19 pandemic, in its grim wake, has become a harbinger of profound transformations that have propelled health care into an era of unprecedented metamorphosis. The pandemic, as a crucible of necessity, has not only fast-tracked the adoption of telemedicine, wearable devices, and advanced therapies but also ignited a blazing momentum toward the fusion of artificial intelligence (AI) with medical science. The editorial's exploration of the ethical dimensions inherent in this new realm is pivotal. AI, epitomized by the advent of ChatGPT, has demonstrated its prowess in surpassing traditional benchmarks in medical licensing examinations, thereby igniting queries that transcend mere fascination. The pertinence of ethics, validation, and sustainability in this transformation is paramount. While AI has cast a compelling spell over medical education and practice, the validity of its insights, the preservation of patient privacy, and the potential for exacerbating disparities necessitate unflinching scrutiny. While echoing the editorial's sentiments, we wish to introduce some additional dimensions to the dialog: 1. Ethics and humanism in AI: As AI algorithms delve deeper into medical diagnostics and prognostics, we must not relinquish the ethical foundation and humanistic ethos that underpin medical practice. The symbiotic relationship between AI's computational prowess and the healer's empathic touch is a testament to the potential for collaboration rather than replacement[2] 2. Resilient systems and preparedness: The editorial rightly extols the value of population-based research in predicting health-care trends and enhancing institutional preparedness. The COVID-19 pandemic has unveiled the fragility of existing health-care systems. Nurturing robust, adaptive frameworks that can pivot in response to emerging challenges becomes paramount in safeguarding public health[3] 3. Global collaborations in AI research: As the nexus between AI and health-care expands, fostering cross-disciplinary and global collaborations becomes nonnegotiable. The challenges posed by AI-driven innovations, ranging from algorithmic biases to data integrity, transcend geographical boundaries. It is our collective responsibility to forge international partnerships that harness AI's potential for collective human benefit[4] 4. Innovations in medical education: The intersection of AI and medical education n","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135212285","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}
M. Sanjay, Anju S. Kurien, Merin Abraham, Abraham Speedie
Background: In emergency department (ED), though electrocardiogram (ECG) is obtained for both typical and atypical chest pain, at certain times, it is overutilized even in patients with low-risk factors for acute coronary syndrome (ACS). This study aimed to assess the utility of an ECG in patients presenting with chest pain to the ED. Materials and Methods: This prospective study included patients presenting with chest pain to the ED during August and September 2018. Following their initial assessment at triage, patients were grouped into high-, intermediate- and low-risk categories based on their risk factors for an ACS. ECGs were acquired and categorized into ACS and non-ACS pattern and their utility in each group was assessed. Results: This study cohort contains 313 patients with a male predominance 59.1%. The mean age was 52.6 ± 15.2 years. Typical chest pain was prominent in 95 (30.4%) patients. The incidence of ischemic and structural heart diseases was 53 (16.9%) and 31 (9.9%), respectively. ACS was diagnosed in 92 (29.3%) patients; among them, ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina were noted to be 51 (16.3%), 27 (8.6%), and 14 (4.5%), respectively. The incidence of ACS based on risk category classification was as follows: high risk 38.9% (44/113) and intermediate risk 33.8% (48/142) and no patients in low risk had ACS. Conclusions: ECG though a useful screening test to diagnose ACS, should be used judiciously in patients with low risk of ACS to optimally utilize the limited resources in ED.
{"title":"The utility of an electrocardiogram in high-, intermediate-, and low-risk patients presenting with chest pain to emergency department","authors":"M. Sanjay, Anju S. Kurien, Merin Abraham, Abraham Speedie","doi":"10.4103/cmi.cmi_102_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_102_22","url":null,"abstract":"Background: In emergency department (ED), though electrocardiogram (ECG) is obtained for both typical and atypical chest pain, at certain times, it is overutilized even in patients with low-risk factors for acute coronary syndrome (ACS). This study aimed to assess the utility of an ECG in patients presenting with chest pain to the ED. Materials and Methods: This prospective study included patients presenting with chest pain to the ED during August and September 2018. Following their initial assessment at triage, patients were grouped into high-, intermediate- and low-risk categories based on their risk factors for an ACS. ECGs were acquired and categorized into ACS and non-ACS pattern and their utility in each group was assessed. Results: This study cohort contains 313 patients with a male predominance 59.1%. The mean age was 52.6 ± 15.2 years. Typical chest pain was prominent in 95 (30.4%) patients. The incidence of ischemic and structural heart diseases was 53 (16.9%) and 31 (9.9%), respectively. ACS was diagnosed in 92 (29.3%) patients; among them, ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina were noted to be 51 (16.3%), 27 (8.6%), and 14 (4.5%), respectively. The incidence of ACS based on risk category classification was as follows: high risk 38.9% (44/113) and intermediate risk 33.8% (48/142) and no patients in low risk had ACS. Conclusions: ECG though a useful screening test to diagnose ACS, should be used judiciously in patients with low risk of ACS to optimally utilize the limited resources in ED.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86747612","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}
Amidst the major reforms occurring in the medical education sector and the norms pertaining to the training of each faculty member training in medical education, a significant rise even in the field of medical education pertaining to Faculty Development Programs (FDPs) has been observed. Nevertheless, the mere production of a certificate of attendance should not be considered an indicator of faculty development in the medical education arena. It is high time that a set of criteria should be formulated to assess the faculty development and the entire thing should be streamlined through systematic assessments. To conclude, it is high time that we not only emphasize on faculty development but also on the assessment of these FDPs to assess the effectiveness of each of them and link the same with the growth of the institution and the betterment of society as a whole.
{"title":"Streamlining the process of assessment of faculty development programs targeting medical education","authors":"SaurabhRamBihariLal Shrivastava, Rasdita Nurhidayati","doi":"10.4103/cmi.cmi_81_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_81_23","url":null,"abstract":"Amidst the major reforms occurring in the medical education sector and the norms pertaining to the training of each faculty member training in medical education, a significant rise even in the field of medical education pertaining to Faculty Development Programs (FDPs) has been observed. Nevertheless, the mere production of a certificate of attendance should not be considered an indicator of faculty development in the medical education arena. It is high time that a set of criteria should be formulated to assess the faculty development and the entire thing should be streamlined through systematic assessments. To conclude, it is high time that we not only emphasize on faculty development but also on the assessment of these FDPs to assess the effectiveness of each of them and link the same with the growth of the institution and the betterment of society as a whole.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134882460","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}
Background: The kneecap, also called the patella, is located in front of the knee joint and protects it from injury. It is the most prominent sesamoid bone of the body and is embedded in the quadriceps tendon. The purpose of this study is to perform a detailed morphometric examination of the patella and compare it to specimens from the right and left sides of the patella. Methods: In this cross-sectional observational study, 40 dried patellae were collected from the Department of Anatomy, Government Medical College, Srinagar, of which 21 were right-sided and 19 were left-sided specimens. Height, width, and thickness of the patella; length and width of the articular facets on the medial and lateral sides; and length of the central ridge were among the parameters examined in the study. Results: The mean height, width, and thickness of the patella specimens were 4.10 cm, 2.01 cm, and 4.10 cm, respectively, according to morphometric analysis. The dimensions of the articular facet on the lateral side were found to be statistically different from the dimensions of the articular facet on the medial side, with P = 0.05 considered statistically significant. According to Koyunco's classification, 87.5% of the patella specimens belonged to type B. Conclusion: The morphometric analysis of the patella in this study may help to design implants for reconstruction and guide orthopedic surgeons in reconstructive and fixation surgery of the patella.
{"title":"Morphometric analysis of dry human patella – A cross-sectional observational study from Kashmir, North India","authors":"ShahSumaya Jan, MubashirYousuf Syed, SheikhMohd Saleem","doi":"10.4103/cmi.cmi_21_23","DOIUrl":"https://doi.org/10.4103/cmi.cmi_21_23","url":null,"abstract":"Background: The kneecap, also called the patella, is located in front of the knee joint and protects it from injury. It is the most prominent sesamoid bone of the body and is embedded in the quadriceps tendon. The purpose of this study is to perform a detailed morphometric examination of the patella and compare it to specimens from the right and left sides of the patella. Methods: In this cross-sectional observational study, 40 dried patellae were collected from the Department of Anatomy, Government Medical College, Srinagar, of which 21 were right-sided and 19 were left-sided specimens. Height, width, and thickness of the patella; length and width of the articular facets on the medial and lateral sides; and length of the central ridge were among the parameters examined in the study. Results: The mean height, width, and thickness of the patella specimens were 4.10 cm, 2.01 cm, and 4.10 cm, respectively, according to morphometric analysis. The dimensions of the articular facet on the lateral side were found to be statistically different from the dimensions of the articular facet on the medial side, with P = 0.05 considered statistically significant. According to Koyunco's classification, 87.5% of the patella specimens belonged to type B. Conclusion: The morphometric analysis of the patella in this study may help to design implants for reconstruction and guide orthopedic surgeons in reconstructive and fixation surgery of the patella.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134882506","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}
The process of transforming a freshly joined medical student into a competent medical graduate is a complex one. It is an indisputable fact that having good knowledge (cognitive domain) is crucial for better performance in psychomotor and affective domains. In the global vision to improve health-care delivery, it is crucial that medical students are trained in critical thinking, clinical reasoning, and problem-solving skills. Problem-based learning (PBL) is a student-centered teaching–learning strategy, which ensures the active engagement of learners. As students get an opportunity to perform a literature search or explore different learning resources, they attempt to learn through self-directed learning, and in the process understand the need to be a lifelong learner for a successful clinical practice in future. In conclusion, PBL session is an effective way to inculcate complex cognitive skills among medical students, and thus, it is quite essential that medical colleges should initiate and implement PBL in their settings after proper planning and with the support of the Medical Education Unit.
{"title":"Proposing a framework to plan and implement problem based learning sessions for undergraduate medical students","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/cmi.cmi_100_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_100_22","url":null,"abstract":"The process of transforming a freshly joined medical student into a competent medical graduate is a complex one. It is an indisputable fact that having good knowledge (cognitive domain) is crucial for better performance in psychomotor and affective domains. In the global vision to improve health-care delivery, it is crucial that medical students are trained in critical thinking, clinical reasoning, and problem-solving skills. Problem-based learning (PBL) is a student-centered teaching–learning strategy, which ensures the active engagement of learners. As students get an opportunity to perform a literature search or explore different learning resources, they attempt to learn through self-directed learning, and in the process understand the need to be a lifelong learner for a successful clinical practice in future. In conclusion, PBL session is an effective way to inculcate complex cognitive skills among medical students, and thus, it is quite essential that medical colleges should initiate and implement PBL in their settings after proper planning and with the support of the Medical Education Unit.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88778182","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}
{"title":"Understanding catastrophic healthcare expenditures - Implications for research","authors":"H. Avirneni, S. Swaminathan, A. John","doi":"10.4103/cmi.cmi_61_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_61_22","url":null,"abstract":"","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85293471","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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