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   2019| January-February  | Volume 32 | Issue 1  
    Online since November 29, 2019

 
 
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SHORT REPORT
Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry
K Bhuvaneswari, Porkodi Rabindran, Balaji Bharadwaj
January-February 2019, 32(1):17-19
DOI:10.4103/0970-258X.272109  PMID:31823933
Background. Premenstrual syndrome (PMS) refers to a set of distressing symptoms experienced around the time of menstrual flow. Hormonal changes may underlie these symptoms which can lead to difficulties in day-to-day functioning and poor quality of life. Methods. In this cross-sectional study, 300 students attending the science stream at a women’s college of Puducherry were administered self-reported questionnaires to obtain socio- demographic, dietary, lifestyle and family details. The Shortened Premenstrual Assessment Form was used to assess PMS, a symptom checklist was used to assess premenstrual dysphoric disorder and Short From 36 was used to assess quality of life. Results. The prevalence of PMS was 62.7%. Back, joint and muscle aches were the most common symptoms followed by abdominal heaviness and discomfort. PMS was associated with a poorer quality of life across all domains. About half the students had affective symptoms in the premenstrual phase. Conclusion. Dietary and lifestyle factors such as consumption of sweets and lack of physical activity were associated with the presence of PMS.
  5,292 616 -
MEDICINE AND SOCIETY
Aluminium utensils: Is it a concern?
Yogendra Kumar Gupta, Meenakshi Meenu, Sharda Shah Peshin
January-February 2019, 32(1):38-40
DOI:10.4103/0970-258X.272116  PMID:31823940
Aluminium utensils are ubiquitous in Indian households and other developing countries. Concerns have recently been raised on the pathological effects of aluminium on the human body, due to its leaching from utensils with long-term use, which has been associated with certain clinical conditions such as anaemia, dementia and osteo-malacia. While some studies suggest that cooking in utensils or aluminium foils is safe, others suggest that it may lead to toxic levels of aluminium in the body. However, studies have shown that leaching of aluminium from cooking utensils depends on many factors such as pH, temperature and cooking medium. In healthy controls, 0.01 %-1 % of orally ingested aluminium is absorbed from the gastrointestinal tract and is eliminated by the kidney. Although the metal has a tendency to accumulate in tissues and may result in their dysfunction, the literature suggests that the apprehension is more apt in patients with chronic renal insufficiency. This article offers solutions to mitigate the risk of aluminium toxicity
  5,455 399 -
CORRESPONDENCE
Recommendations for a National Sleep Policy in India
Nasreen Akhtar, Hrudananda Mallick
January-February 2019, 32(1):59-60
DOI:10.4103/0970-258X.272131  PMID:31823948
  4,603 214 -
MEDICINE AND SOCIETY
Indian healthcare at crossroads (Part 1): Deteriorating doctor–patient relationship
Anil Chandra Anand
January-February 2019, 32(1):41-45
DOI:10.4103/0970-258X.272117  PMID:31823941
  2,002 177 -
ORIGINAL ARTICLES
Renal outcomes among snake-envenomed patients with acute kidney injury in southern India
Tarun K George, Anet Gregory Toms, Baker Ninan Fenn, Vignesh Kumar, R Kavitha, Josh Thomas Georgy, Georgi Abraham, Anand Zachariah
January-February 2019, 32(1):5-8
DOI:10.4103/0970-258X.272106  PMID:31823930
Background. Acute kidney injury (AKI) is a common complication of snake envenomation. However, the long-term renal outcomes of such patients are not well defined. We aimed to determine the proportion of patients who developed AKI, characterize the presenting syndromes and ascertain the long-term resolution of AKI. Methods. We did a cohort study with prospective follow- up from two centres in southern India. All admitted patients >15 years of age with snake envenomation and serum creatinine ≥1.5 mg/dl over the past 10 years were identified through their discharge summaries. These patients were prospectively contacted, interviewed telephonically and requested to come for a hospital review. Results. Of the 866 patients screened, 1 84 developed AKI (21.2%). Among these, 53% had combined renal, haematological and neurological manifestations; 33.6% required admission to the intensive care unit and 38% were dialysed. On follow-up of hospital records the creatinine of 49% of patients had normalized. Of those admitted, 36% were contacted and none had a known renal disease or were on dialysis. Among these, 16 patients came to the hospital for review and only 2 had an elevated creatinine. The total mortality was 1 4. Conclusion. AKI is an important cause of morbidity with snake envenomation and a proportion will require dialysis. The mortality in our study was low and long-term renal outcomes were relatively good.
  1,706 243 -
Knowledge and attitude towards eye donation among health professionals of northern India
Neelam Runda, Anita Ganger, Noopur Gupta, Archita Singh, Praveen Vashist, Radhika Tandon
January-February 2019, 32(1):9-12
DOI:10.4103/0970-258X.272107  PMID:31823931
Background. We aimed to assess the knowledge and attitude of health professionals towards eye donation at an apex tertiary care centre of northern India. Methods. We interviewed 600 health professionals, comprising doctors, nurses, medical as well as nursing students, social workers and allied paramedical staff. A structured questionnaire (12 questions for assessing knowledge and 5 questions for assessing attitude) was used to estimate the awareness of eye donation and willingness to pledge eyes for donation. The responses pertaining to knowledge were graded as 'excellent', 'good' and 'poor' and those pertaining to attitude were grouped into 'positive' and 'negative'. Results. Of the 600 participants, 138 participants (23%) had 'excellent' knowledge and 234 participants (39%) had 'good' knowledge about eye donation. Awareness of eye donation was positively related to the level of literacy (odds ratio [OR] 8.5 [2.30-31.2]; p<0.001). Medical social workers and health supervisors had better knowledge about eye donation (OR 2.01 [1.08-3.72]; p=0.026) than other professional groups. Knowledge of eye donation had no significant association with age, gender, religion, family type and marital status of the respondent. Willingness to pledge eyes for donation was observed in only 6% of the participating health professionals. Pledging of eyes for donation was higher among older participants (OR 7.8 [2.67-22.77]; p<0.001). Conclusion. Our study shows that there is sufficient knowledge about eye donation, but an alarmingly low willingness to pledge eyes for donation among health professionals. Concerted efforts are required to alter their attitude to strengthen the Hospital Cornea Retrieval Programme.
  1,474 230 -
CLINICAL CASE REPORTS
Guinea-worm (Dracunculus medinensis) infection presenting as a diabetic foot abscess: A case report from Kerala
Suresh Kumar Pichakacheri
January-February 2019, 32(1):22-23
DOI:10.4103/0970-258X.272111  PMID:31823935
Dracunculiasis or guinea-worm infection is a water-borne, parasitic disease that can cause major morbidity. Dracunculiasis in patients with diabetes can be misdiagnosed as a diabetic foot abscess, which is a common complication of poorly controlled diabetes. This is a report of guinea-worm disease (GWD) in a 57-year-old man with diabetes from a rural area of Kerala. There is need for awareness among physicians about the occurrence of GWD in people with diabetes and the need to ensure supply of safe drinking water to prevent its re- emergence. Though WHO has declared India free of GWD, a few cases have been reported from the country.
  1,392 193 -
IMAGES IN MEDICINE
Atypical presentation of intimal tear of aorta in a young deceased boy secondary to road traffic collision
Ashish Saraf, Navneet Ateriya, Raghvendra Singh Shekhawat
January-February 2019, 32(1):52-52
DOI:10.4103/0970-258X.272121  PMID:31823945
  1,239 87 -
ORIGINAL ARTICLES
Viper bite and its complications at a tertiary care centre in southern part of West Bengal: A prospective, clinical, socioeconomic and epidemiological study
Kripasindhu Gantait, Shinjan Patra, Rajdip Chowdhury, Subhroprakash Pramanick
January-February 2019, 32(1):13-16
DOI:10.4103/0970-258X.272108  PMID:31823932
Background. Viper snake bite is a threat to the Indian health system with 83 000 deaths annually. There is a paucity of literature regarding independent risk factors for renal damage due to viper bite. We present the scenario in a rural part of West Bengal and highlight some vital factors to prevent the complications. Methods. We screened all patients with snake bite from January 2012 to December 2015 in Midnapore Medical College and chose definite viper bites according to our inclusion criteria, treated them as per the Indian government protocol, followed them for any acute kidney injury, managed them with haemodialysis (HD) if needed and compared some socioeconomic and clinical factors between HD and non-HD groups to predict the outcome. Results. A total of 1220 snake bites were screened, 660 were viper bites, and 1 80 needed HD at least once. The HD group mostly consists of tribal population (75% v. 45% in non-HD group) who used unscientific first-aid measures. Bite timing was characteristically between 4 a.m. and 8 a.m., especially during defecation in fields, without any considerable seasonal variation. The average bite-to-needle time was 24.6 hours in the HD group and 5.1 hours in the non-HD group, with the average economic burden of ₹3345 in the HD group and ₹730 in the non-HD group. Conclusions. Along with formal education, there is a need to create awareness among the relatively poor tribal population about snake bite to reduce the bite-to-needle time.
  991 182 -
EDITORIAL
Reimagining Psychiatric Education for Physicians
Anju Kuruvilla, KS Jacob
January-February 2019, 32(1):1-4
DOI:10.4103/0970-258X.272083  PMID:31823929
  912 182 -
MEDICAL EDUCATION
Microteaching enhances teaching skills of resident doctors in India: A pilot study
Suriya Prakash Muthukrishnan, Nalin Mehta
January-February 2019, 32(1):29-31
DOI:10.4103/0970-258X.272114  PMID:31823938
Background. The Medical Council of India has recommended microteaching for training medical graduates to improve their teaching efficiency. We assessed the effectiveness of microteaching on teaching skills of resident doctors through objective and subjective methods. Methods. We obtained data from three microteaching sessions in which 10 resident doctors participated. Seven core teaching skills of the participants were compared between two training sessions using the paired t-test. Only 4 residents who had participated in the training sessions appeared for the semester examination. We compared the performance of the ‘trained’ residents (π = 4) with the ‘naïve’ residents (n = 6) who were getting exposed to microteaching for the first time during the semester examination using the Mann-Whitney test. Results. Participants scored significantly high in the second training session compared to the first one. All the participants perceived the training sessions to have a positive effect on their teaching skills. In the semester examination, ‘trained’ residents performed significantly better than their ‘naïve’ counterparts. Conclusions. Microteaching not only improved the teaching skills of the residents but also helped them perform well in their semester examination held 10 months later. Our results indicate that microteaching can be an effective teacher training technique for residents.
  870 168 -
OBITUARY
Obituary
Sanjay Wadhwa
January-February 2019, 32(1):46-47
DOI:10.4103/0970-258X.272118  PMID:31823942
  800 84 -
MEDICAL EDUCATION
Psychiatric curriculum for training physicians
KS Jacob, Anju Kuruvilla, Anand Zachariah
January-February 2019, 32(1):32-37
DOI:10.4103/0970-258X.272115  PMID:31823939
  760 115 -
LETTER FROM MUMBAI
Letter from Mumbai
Sunil Pandya
January-February 2019, 32(1):49-51
DOI:10.4103/0970-258X.272120  PMID:31823944
  762 65 -
CLINICAL CASE REPORTS
Bilateral retrograde pyelography leading to anuria
A Mallya, VS Karthikeyan, C.M.S. Manohar, R Keshavamurthy
January-February 2019, 32(1):20-21
DOI:10.4103/0970-258X.272110  PMID:31823934
Retrograde pyelography (RGP) is done to evaluate the collecting system when intravenous contrast studies are contraindicated due to renal insufficiency or prior adverse reactions. We report a patient who developed acute renal shutdown following bilateral RGP in the same sitting done for evaluation of positive malignant cytology of urine. A 65-year-old man on treatment for left stroke and hypertension, with a baseline serum creatinine of 1.9 mg/dl presented with painless haematuria for 2 months. Plain computed tomogram revealed a small papillary growth on the posterior wall of the urinary bladder. Transurethral resection revealed inflammatory atypia. As the patient continued to have haematuria, he was taken up for bilateral ureteric washings for cytology and bilateral RGP. A 5-Fr universal ureteral catheter was used to cannulate the ureters, urine was aspirated for cytology and 6 ml of 76% meglumine diatrizoate (1:2) was injected, and sufficient opacification with no abnormality or pyelosinus/venous or lymphatic reflux was noted. In the immediate postoperative period, he developed anuria and the serum creatinine rose to 3.6 mg/dl on postoperative day 1 and to 7.5 mg/dl on day 5. He needed three sessions of haemodialysis. Ultrasonography showed no hydroureteronephrosis. Urine output improved and his serum creatinine stabilized at the preoperative level of 1.8 mg/dl. The patient is doing well with stable renal function at 12 months. Although RGP is useful, it needs to be done with caution if a bilateral procedure is contemplated. This entity is seldom reported, and routine double-J stenting following unilateral/bilateral RGP also needs evaluation.
  709 104 -
BOOK REVIEWS
The Palgrave Handbook of the History of Surgery
IK Dhawan
January-February 2019, 32(1):56-57
DOI:10.4103/0970-258X.272129  
  697 54 -
CORRESPONDENCE
Salt-restriction and adequate iodine consumption: Dual burden or twin-opportunity?
Aravind P Gandhi
January-February 2019, 32(1):60-61
DOI:10.4103/0970-258X.272132  PMID:31823949
  641 102 -
Dermatological diseases in the elderly: An observational study at a tertiary care hospital in northern India
Vibhu Mendiratta, Sarita Sanke, Ram Chander
January-February 2019, 32(1):58-59
DOI:10.4103/0970-258X.272130  PMID:31823947
  639 90 -
SELECTED SUMMARIES
Community interventions and participation in women's groups and counselling through home visits and their effect on a child's growth
Olivia Marie Jacob, Sumit Malhotra
January-February 2019, 32(1):24-26
DOI:10.4103/0970-258X.272112  PMID:31823936
  507 102 -
Effectiveness of quarter standard-dose combination therapy for initial management of hypertension
Olivia Marie Jacob, Rakesh Kumar
January-February 2019, 32(1):26-28
DOI:10.4103/0970-258X.272113  PMID:31823937
  459 107 -
CORRESPONDENCE
Mobile teeth: An underestimated risk factor for lung infections in critical care settings
Nakul Uppal, Ajay V Venkatapathy, Deep Shikha
January-February 2019, 32(1):62-62
DOI:10.4103/0970-258X.272134  PMID:31823951
  458 72 -
IMAGES IN MEDICINE
Isolated bilateral partial third nerve palsy due to large midbrain tuberculoma
Nripen Gaur, Pradeep Sharma, Brijesh Takkar, Jagjeet Singh
January-February 2019, 32(1):53-53
DOI:10.4103/0970-258X.272125  PMID:31823946
  445 79 -
BOOK REVIEWS
Where There is No Psychiatrist (Second Edition)
Koushik Sinha Deb, Swarndeep Singh
January-February 2019, 32(1):54-55
DOI:10.4103/0970-258X.272126  
  441 70 -
NEWS FROM HERE AND THERE
News from Here and There

January-February 2019, 32(1):63-64
DOI:10.4103/0970-258X.272135  
  369 105 -
LETTER FROM GLASGOW
Letter from Glasgow
Harpreet Singh Kohli
January-February 2019, 32(1):48-49
DOI:10.4103/0970-258X.272119  PMID:31823943
  380 60 -
CORRESPONDENCE
Appropriate terminology
Harpreet S Kohli
January-February 2019, 32(1):61-62
DOI:10.4103/0970-258X.272133  PMID:31823950
  365 72 -
BOOK REVIEWS
Medical Writing: A Guide for Clinicians, Educators and Researchers
Sanjay A Pai
January-February 2019, 32(1):55-56
DOI:10.4103/0970-258X.272128  
  345 82 -
Essentials of Anatomic Pathology
Sanjay A Pai
January-February 2019, 32(1):55-55
DOI:10.4103/0970-258X.272127  
  337 54 -