Pub Date : 2023-01-01DOI: 10.4103/jopcs.jopcs_30_22
V. Venugopal, Deenadayalan Boopalan, R. Poornima, K. Maheshkumar
{"title":"Self-induced sound therapy for sound sleep","authors":"V. Venugopal, Deenadayalan Boopalan, R. Poornima, K. Maheshkumar","doi":"10.4103/jopcs.jopcs_30_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_30_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"103 1","pages":"38 - 39"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89130658","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_37_22
S. Garg, Sachindanand Gautam, Prachi Bagarhatta, R. Raghu, Praveen Bharti, Rohit Gupta
{"title":"A case report on acute Marchiafava-Bignami disease","authors":"S. Garg, Sachindanand Gautam, Prachi Bagarhatta, R. Raghu, Praveen Bharti, Rohit Gupta","doi":"10.4103/jopcs.jopcs_37_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_37_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73483082","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_27_22
Atul K. Gowardhan, P. Bagade
Background: Primarily collegiate promotions, placement retention, professional progress, and career mobility of any medical fraternity are determined by the growth in their research productivity. Universities and medical institutes also recruit and promote those academicians who have voluminous resume with ample number of publications. However, the mandatory criteria for article publication and the frequent changes made in them, challenge the medical professionals and create a sense of anxiety and insecurity in them about their future prospects. This study aims at screening these medical academicians, for generalized anxiety disorder (GAD) in response to the recent change in "Minimum Teachers Eligibility Qualifications in Medical Institutions Regulations" as per the National Medical Commission (NMC) guidelines 2022. Materials and Methods: It was a cross-sectional pilot study conducted in two medical institutes including 76 medical teachers due for their promotions. Knowledge and anxiety towards the recent change in "Minimum Teachers Eligibility Qualifications in Medical Institutions Regulations" as per the NMC guidelines 2022 was assessed by the GAD-7 scoring system with help of a questionnaire. The medical professionals were grouped into minimal, mild, moderate, and severe anxiety depending on their GAD-7 score. Results: Hundred percent of medical teachers were aware of the recent changes in the promotion criteria laid down by the NMC in February 2022. 31.57% and 34.78% of medical professionals were found to have mild and moderate anxiety respectively about the promotion criteria. Although less, but 15% of them were screened to be severely anxious about the same matter. Conclusion: All the study participants were updated about the recent changes in the promotion criteria put forward by NMC in February 2022 but this revision has created a sense of apprehension and uncertainty among the medical professionals regarding their due promotions.
{"title":"Study of anxiety among medical teachers about the recent change in “publication-based faculty promotions” as per the National Medical Commission Guidelines 2022","authors":"Atul K. Gowardhan, P. Bagade","doi":"10.4103/jopcs.jopcs_27_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_27_22","url":null,"abstract":"Background: Primarily collegiate promotions, placement retention, professional progress, and career mobility of any medical fraternity are determined by the growth in their research productivity. Universities and medical institutes also recruit and promote those academicians who have voluminous resume with ample number of publications. However, the mandatory criteria for article publication and the frequent changes made in them, challenge the medical professionals and create a sense of anxiety and insecurity in them about their future prospects. This study aims at screening these medical academicians, for generalized anxiety disorder (GAD) in response to the recent change in \"Minimum Teachers Eligibility Qualifications in Medical Institutions Regulations\" as per the National Medical Commission (NMC) guidelines 2022. Materials and Methods: It was a cross-sectional pilot study conducted in two medical institutes including 76 medical teachers due for their promotions. Knowledge and anxiety towards the recent change in \"Minimum Teachers Eligibility Qualifications in Medical Institutions Regulations\" as per the NMC guidelines 2022 was assessed by the GAD-7 scoring system with help of a questionnaire. The medical professionals were grouped into minimal, mild, moderate, and severe anxiety depending on their GAD-7 score. Results: Hundred percent of medical teachers were aware of the recent changes in the promotion criteria laid down by the NMC in February 2022. 31.57% and 34.78% of medical professionals were found to have mild and moderate anxiety respectively about the promotion criteria. Although less, but 15% of them were screened to be severely anxious about the same matter. Conclusion: All the study participants were updated about the recent changes in the promotion criteria put forward by NMC in February 2022 but this revision has created a sense of apprehension and uncertainty among the medical professionals regarding their due promotions.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"9 1","pages":"17 - 23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74634236","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_48_23
SunilKumar Raina, Raman Kumar
{"title":"Strategic dysfunction in primary care: Design or default","authors":"SunilKumar Raina, Raman Kumar","doi":"10.4103/jopcs.jopcs_48_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_48_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"97 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":"135311384","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_15_23
Harish Gupta
{"title":"Is violence against doctors an India – Specific challenge?","authors":"Harish Gupta","doi":"10.4103/jopcs.jopcs_15_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_15_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"70 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":"135312350","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_24_22
Manas Pustake
{"title":"Violence against Doctors in India: A Medical Student's Perspective","authors":"Manas Pustake","doi":"10.4103/jopcs.jopcs_24_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_24_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"96 1","pages":"40 - 41"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85309054","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 : 2023-01-01DOI: 10.4103/jopcs.jopcs_59_22
Taranga Reang, Nanimala Debbarma, Raja Jamatia
Background: Fertility phenomenon is a physiological process in living organisms that in human in addition to physiological aspects has social and psychological dimensions. Objectives: To estimate the proportion and associated risk factors of depression among infertile women of reproductive age group. Methodology: A cross sectional study was conducted in the tertiary care level of Obstetrics & Gynecology Clinics in the Agartala city. BDI scale was used for assessing the depression level among infertile women. Result: The proportion of depression was 54%. One percent severe depression and 5% moderate depression. There was significant association of depression with age group, educational status, and number of family member, duration of marriage, caste and with religion of the infertile women. Conclusion: The proportion of the depression morbidity was high among infertile women. The proportion of depression should not be underestimated in the women suffering from infertility. Apart from searching for the obstetrical causes of infertility; psychological morbidity should also be considered as a serious concern affecting these women.
{"title":"A study of depression among infertile women of reproductive age group attending tertiary care hospitals in Agartala","authors":"Taranga Reang, Nanimala Debbarma, Raja Jamatia","doi":"10.4103/jopcs.jopcs_59_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_59_22","url":null,"abstract":"Background: Fertility phenomenon is a physiological process in living organisms that in human in addition to physiological aspects has social and psychological dimensions. Objectives: To estimate the proportion and associated risk factors of depression among infertile women of reproductive age group. Methodology: A cross sectional study was conducted in the tertiary care level of Obstetrics & Gynecology Clinics in the Agartala city. BDI scale was used for assessing the depression level among infertile women. Result: The proportion of depression was 54%. One percent severe depression and 5% moderate depression. There was significant association of depression with age group, educational status, and number of family member, duration of marriage, caste and with religion of the infertile women. Conclusion: The proportion of the depression morbidity was high among infertile women. The proportion of depression should not be underestimated in the women suffering from infertility. Apart from searching for the obstetrical causes of infertility; psychological morbidity should also be considered as a serious concern affecting these women.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"129 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":"135263512","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":"Decoding life's dilemma: The Indian approach to euthanasia and palliative care","authors":"GopalSingh Charan, Hardeep Kaur, Shatrughan Pareek","doi":"10.4103/jopcs.jopcs_28_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_28_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"22 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":"135269975","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 : 2022-09-01DOI: 10.4103/jopcs.jopcs_17_22
D. Chakraborty, S. Dey, Sanjay Bhaumik, Gobinda Pramanick
{"title":"It is Better Late than Never: An Interesting Case of Central Nervous System Vasculitis","authors":"D. Chakraborty, S. Dey, Sanjay Bhaumik, Gobinda Pramanick","doi":"10.4103/jopcs.jopcs_17_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_17_22","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"44 1","pages":"87 - 88"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84323336","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 : 2022-09-01DOI: 10.4103/jopcs.jopcs_13_22
A. Dixit, D. Javed, S. Mukherjee, S. Anwar, Nibha Giri
Background and Objectives: Ayurveda, Yoga, Unani, Siddha, and Homoeopathy (AYUSH); India's traditional medical system has made significant contributions to COVID-19. However, the results of controlled trials were mixed. To reach factual conclusions, we conducted systematic study and meta-analysis. Materials and Methods: An exhaustive literature search on COVID-19 and AYUSH was conducted using electroinic databases such as PubMed/Medline, CAM-QUEST, and the Cochrane Central Register of Controlled Trials since inception to February 2022. Pooled estimates of the parameters were assessed in terms of standard mean difference (SMD) and relative risk (rr) using RevMan software. Risk of bias (RoB) in individual studies and across studies was assessed through Cochrane tool of bias and Grades of Recommendation, Assessment, Development, and Evaluation approach, respectively. Results: A total of 13 studies out of 650 articles were considered for the meta-analysis. Combined therapy showed greater effect to recovery rate and period (RR = 0.24, 95% confidence interval [CI] [0.11–0.55] P = 0.0007) (mean differences [MD] = −2.29, 95% CI − 4.62–0.04, P = 0.05), respectively. Cycle threshold value of reverse transcription polymerase chain reaction (MD = −2.16, 95% CI − 2.90– −1.43, P < 0.00001), interleukin (IL)-6 (MD = −0.31, 95% CI − 0.57 –−0.05, P = 0.02), tumor necrosis factor-alpha (MD = −3.38, 95% CI − 4.25 – −2.51, P < 0.00001), lactate dehydrogenase (MD = −1.97, 95% CI − 2.57 to − 1.38, P < 0.00001). In homeopathy preventive trial, lesser number of occurrences of events were found (odds ratio = 0.12, 95% CI 0.03–0.47, P = 0.002). RoB was unclear. Conclusion: COVID-19 may benefit from AYUSH interventions as an adjunct. High-quality randomized controlled trials are required to evaluate and validate this.
背景和目的:阿育吠陀，瑜伽，尤那尼，悉达和顺势疗法(AYUSH);印度传统医疗体系为抗击新冠肺炎做出了重要贡献。然而，对照试验的结果却喜忧参半。为了得出事实性结论，我们进行了系统研究和荟萃分析。材料和方法:使用PubMed/Medline、CAM-QUEST和Cochrane Central Register of Controlled Trials等电子数据库，从成立到2022年2月，对COVID-19和AYUSH进行了详尽的文献检索。使用RevMan软件根据标准平均差(SMD)和相对风险(rr)评估参数的汇总估计值。分别通过Cochrane偏倚工具和推荐分级、评估分级、发展分级和评价分级方法评估单个研究和跨研究的偏倚风险(RoB)。结果:650篇文章中有13篇研究被纳入meta分析。联合治疗对治愈率和治愈期的影响更大(RR = 0.24, 95%可信区间[CI] [0.11-0.55] P = 0.0007)(平均差异[MD] = - 2.29, 95% CI = - 4.62-0.04, P = 0.05)。逆转录聚合酶链反应的周期阈值(MD = - 2.16, 95% CI−2.90 ~−1.43,P < 0.00001)、白细胞介素(IL)-6 (MD = - 0.31, 95% CI−0.57 ~−0.05,P = 0.02)、肿瘤坏死因子- α (MD = - 3.38, 95% CI−4.25 ~−2.51,P < 0.00001)、乳酸脱氢酶(MD = - 1.97, 95% CI−2.57 ~−1.38,P < 0.00001)。顺势疗法预防试验中发现的事件发生率较低(优势比= 0.12,95% CI 0.03 ~ 0.47, P = 0.002)。罗布不清楚。结论:COVID-19可能受益于AYUSH辅助干预措施。需要高质量的随机对照试验来评价和验证这一点。
{"title":"Ayurveda, Unani, Siddha, and Homoeopathy medicines as an adjuvant in the treatment of COVID-19: A systematic review and meta-analysis of randomized controlled trials","authors":"A. Dixit, D. Javed, S. Mukherjee, S. Anwar, Nibha Giri","doi":"10.4103/jopcs.jopcs_13_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_13_22","url":null,"abstract":"Background and Objectives: Ayurveda, Yoga, Unani, Siddha, and Homoeopathy (AYUSH); India's traditional medical system has made significant contributions to COVID-19. However, the results of controlled trials were mixed. To reach factual conclusions, we conducted systematic study and meta-analysis. Materials and Methods: An exhaustive literature search on COVID-19 and AYUSH was conducted using electroinic databases such as PubMed/Medline, CAM-QUEST, and the Cochrane Central Register of Controlled Trials since inception to February 2022. Pooled estimates of the parameters were assessed in terms of standard mean difference (SMD) and relative risk (rr) using RevMan software. Risk of bias (RoB) in individual studies and across studies was assessed through Cochrane tool of bias and Grades of Recommendation, Assessment, Development, and Evaluation approach, respectively. Results: A total of 13 studies out of 650 articles were considered for the meta-analysis. Combined therapy showed greater effect to recovery rate and period (RR = 0.24, 95% confidence interval [CI] [0.11–0.55] P = 0.0007) (mean differences [MD] = −2.29, 95% CI − 4.62–0.04, P = 0.05), respectively. Cycle threshold value of reverse transcription polymerase chain reaction (MD = −2.16, 95% CI − 2.90– −1.43, P < 0.00001), interleukin (IL)-6 (MD = −0.31, 95% CI − 0.57 –−0.05, P = 0.02), tumor necrosis factor-alpha (MD = −3.38, 95% CI − 4.25 – −2.51, P < 0.00001), lactate dehydrogenase (MD = −1.97, 95% CI − 2.57 to − 1.38, P < 0.00001). In homeopathy preventive trial, lesser number of occurrences of events were found (odds ratio = 0.12, 95% CI 0.03–0.47, P = 0.002). RoB was unclear. Conclusion: COVID-19 may benefit from AYUSH interventions as an adjunct. High-quality randomized controlled trials are required to evaluate and validate this.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"9 1","pages":"49 - 62"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90214822","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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