ABSTRACT
Background: Today’s medical students are tomorrow’s future workforce in the Indian health-care system. Leadership quality among medical students is rarely assessed or discussed during the undergraduate medical course. Aim and Objective: This study aimed to ascertain the level of perceived leadership quality among 1st-year medical students in an Indian medical college. Materials and Methods: This cross-sectional study was conducted with all 1st-year medical students studying MBBS. We took a convenience sample for this study. A self-report questionnaire-abbreviated self-leadership quality was used to assess the perceived leadership quality. This questionnaire has a total of nine questions or statements that have a 5-point Likert-type response option. Data were presented descriptively and analyzed by one-way analysis of variance. Results: A total of 87 (58 male and 29 female) 1st-year medical students participated in this study. The highest score was for self-goal setting and the lowest score was for self-reward. There was a significant difference (P < 0.0001) in the variance of a score. The questionnaire showed a Cronbach’s alpha of 0.86 which indicates the questionnaire was having a good internal consistency. Conclusion: From the experience of this single-center study, it may be concluded that 1st-year medical students are having a high level of perceived leadership quality. Although their goal-setting is the highest quality, self-reward is not practiced by them. Leadership training in the curriculum may help in growing the leadership quality among medical students.
ABSTRACT
Rabies is an acute viral zoonotic disease that affects all warm-blooded animals including mammals and occurs in more than 150 countries and territories. Although rabies is a 100% fatal disease, it can be pre-vented by the use of potent anti-rabies vaccines (ARV). The present study was a hospital based descrip-tive longitudinal study conducted during February 2019 to July 2020 amongst the animal bite patients attending the Anti -Rabies clinic (ARC) of Vardhman Mahavir Medical College and Safdarjung Hospital (VMMC & SJH), New Delhi, to study the adverse events (vaccine reactions) if any following administra-tion of the ARV. The age of the study participants ranged from 2 to 65 years and the mean age was (29.315.2) years. No severe or serious adverse events were reported. Of the minor reactions, the most commonly reported symptom was pain at the injection site (34; 9.4%) followed by occurrence of tingling sensation (29; 8.1%), headache (22; 6.1%) and itching at the injection site (19; 5.3%). These findings corroborate with those found in previous studies in the literature. It was concluded that although there are possible local or mild or systemic adverse reactions to rabies vaccination, but once initiated, rabies prophylaxis should not be interrupted or discontinued.
ABSTRACT
Background: Alternative medicine systems in India are growing with the advancement of research and pharmaceuticals. The disease – COVID-19 has still no specific treatment modality and the pandemic is continuing. Among the alternative medicine systems, which one is searched more with a connection to the pandemic, are still unknown. Aims and Objectives: This study aimed to assess the global and Indian internet search volume of alternative system medicine – Ayurveda, Yoga, Unani, Siddha, and Homeopathy during the past 2 years of the pandemic (March 2020–March 2022). Materials and Methods: On the Google Trends website (https://trends.google.com), we used the following combination of phrases to search the trend and compare the trends: “COVID Ayurveda,” “COVID Yoga,” “COVID Unani,” “COVID Siddha,” and “COVID Homeopathy.” The data were filtered with the date range from April 1, 2020 to March 31, 2022. First, the data were collected for the whole world and then India. All the comma separated values were downloaded for further data analysis. Results: Globally, there were two spikes of searching the COVID and Yoga in the second wave and third wave. Search for homeopathy and Ayurveda also showed two peaks during the first and second waves. In India, there were three spikes of search volume for yoga in three waves. The search for homeopathy showed a peak in the first wave. We found a significant positive correlation between global searches and Indian searches. This indicates a correlated demand or knowledge-seeking regarding alternative medicine. Conclusion: People around the world search for alternative medicine as a possible treatment method for COVID-19. The most common search was for Yoga, followed by homeopathy and Ayurveda in the global population. In India, yoga was the highest searched method followed by homeopathy and Ayurveda.
ABSTRACT
Background: Under the National Rural Health Mission all over India, in March 2011, the concept of facility-based dietary management in tertiary care hospital, which is named as Nutritional Rehabilitation Center (NRC), was started with the establishment of NRCs at district level. Objective: Our aim was to evaluate the outcome indicators of facility-based management of severe acute malnutrition (SAM) children admitted in the NRC, to identify the gaps in the NRC management of SAM, and to propose recommendations to bridge the gaps. Materials and Methods: This study is a hospital-based snap short study which was conducted in NRC, Sardar Vallabhbhai Patel Postgraduate Institute of Paediatrics, Sishu Bhawan, S.C.B Medical College, Cuttack, from 2014 to 2017. Patients >1 month and <5 years of age with SAM admitted to the NRC were included in the study. Results: A total of 353 children were included in the study. Mean age of the children was 12.4 ± 11.8 months. 83.6% of the SAM children were within 24 months. Mean duration of stay in NRC among all the admitted (353 children) SAM children over 3 years was 12.78 ± 7.07 days and mean duration of stay in the NRC among all the discharge cases (246 discharged children) was 15.7 ± 5.86 days. Case fatality rate was 1.5% for the year 2014–2015 and no death was recorded during the year 2015–2016 and 2016–2017. Average daily weight gain was 12.5 ± 5.61 g/kg/day. Conclusion: Implementation of the World Health Organization feeding guidelines resulted in adequate weight gain of inpatient malnourished children with adequate health-care services at the NRCs.
ABSTRACT
Despite leprosy being eliminated worldwide, a reasonable number of new cases are encountered in many countries like India. Reactions in leprosy are quite common which contributes significantly to morbidity and disabilities in patients suffering from leprosy. Two types of reactions can occur in leprosy patients depending on host's immune response against Mycobacterium leprae. Lazarine leprosy is a rare ulcerating form of leprosy which is considered as an exaggerated type 1 reaction. We are reporting a case of facial lazarine leprosy in a normal immunocompetent person without any underlying malnutrition. This case presented with infiltrated, oedematous plaque with ulceration and crusting, features which are suggestive of Lazarine leprosy but can also be indicative of severe type 1 reaction. Aggressive nature of the lesion and ulceration were taken into consideration to diagnose this case as Lazarine leprosy.
ABSTRACT
A record based retrospective study was conducted at the blood bank of SCB Medical College, Cuttack. All the donors who had donated blood from June to December 2005 were considered. 91.7%of the donors were males and majority belonged to 21-30 years age group. 1.98% of the donors were positive for hepatitis C, 1.13% for hepatitis B and 0.35% for HIV. For HBV infection, majority belonged to 31-40 years age group. But for HCV and HIV infection more were in the 21-30 year age group. Significantly more number of exchange donors was positive for HBV and HCV in comparison to voluntary donors in blood bank and camp. No voluntary donors from the camp were HIV positive.