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  Access statistics : Table of Contents
   2020| January-February  | Volume 33 | Issue 1  
    Online since January 28, 2021

 
 
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REVIEW ARTICLE
‘Author Contribution Details’ and not ‘Authorship Sequence’ as a merit to determine credit: A need to relook at the current Indian practice
Natasha Das, Saurendra Das
January-February 2020, 33(1):24-30
DOI:10.4103/0970-258X.308238  PMID:33565483
The Medical Council of India (MCI) has made research publications in indexed medical journals an obligatory requirement for promotion of medical teachers. In 2015, MCI guidelines said the first and the second author would receive credit for a research paper. In 2017, the amended guidelines provided credit to the first and the corresponding authors instead. We reviewed the common types of authorship order in medical publications from across the world and noted that before the 1990s, corresponding authors were rarely acknowledged and were not considered more important than any of the co-authors. By 2016, the corresponding author was usually the first or the last author. With an increase in collaborative research globally, more and more papers are published with multiple first, last or corresponding authors. Some journals have revised their Instructions to Authors to acknowledge co-first authors equally. Since 2017, PubMed also displays equal contributors in the author byline while still allowing searches for ‘First author’ and ‘Last author’ supporting the ‘first and last author emphasis’. However, most guidelines mention that the authorship order is a collective decision of the authors. Any association between authorship sequence and credit for an article is debatable. Some journals allow or even insist on authorship statements to explain each contributor's role. Standardized vocabularies and taxonomies such as the Contributor Roles Taxonomy (CRediT) system can highlight contributions of individual authors. Some suggest doing away with the authorship order altogether. Readers and assessors should look at the ‘author contribution details’ rather than the ‘authorship order’ before drawing any conclusions about contributions of each author.
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CLINICAL RESEARCH METHODS
Primer on Epidemiology 1: Building blocks of epidemiological enquiry
Shivani Anil Patel, Poornima Prabhakaran
January-February 2020, 33(1):45-50
DOI:10.4103/0970-258X.279970  PMID:33565488
  1,633 191 -
EDITORIALS
A Disclosure Form for Work Submitted to Medical Journals: A proposal from the International Committee of Medical Journal Editors
Darren B Taichman, Joyce Backus, Christopher Baethge, Howard Bauchner, Annette Flanagin, Fernando Florenzano, Frank A Frizelle, Fiona Godlee, Laragh Gollogly, Abraham Haileamlak, Sung-Tae Hong, Richard Horton, Astrid James, Christine Laine, Pamela W Miller, Anja Pinborg, Eric J Rubin, Peush Sahni
January-February 2020, 33(1):1-3
DOI:10.4103/0970-258X.277221  PMID:33565476
  1,506 229 -
ORIGINAL ARTICLES
A survey of fasting practices and acceptance of an intervention for achieving control in diabetes during Ramadan
Swarna Dabral, Shoma Mukherjee, Nilanjan Saha, Smita Manjavkar, Sunil Kohli
January-February 2020, 33(1):5-9
DOI:10.4103/0970-258X.308233  PMID:33565478
Background. Many people with diabetes, who practise Islam, are passionate about fasting during Ramadan despite their medical condition and exemption from the religion. These patients are at risk of hypoglycaemia, hyperglycaemia, diabetic ketoacidosis, dehydration and thrombosis. We evaluated the acceptability of an individualized management plan for such people. Methods. We conducted a survey to assess the knowledge and ability of patients to manage their diabetes while observing the fast during Ramadan. Then, the acceptance of an educational intervention was assessed among patients, which was provided 1 month before Ramadan. Patients were followed up at 2 weeks into and after Ramadan. Results. Of the survey population, only 14.7% of patients volunteered for pre-Ramadan assessment and 97.5% of patients recollected suffering from symptoms suggestive or hypoglycaemia or hyperglycaemia. Following the intervention, 17 of 50 patients did not fast; 26 patients followed dietary advice, while 7 patients did not. Symptoms suggestive of hypoglycaemia and hyperglycaemia were reported by 21 of 33 patients who fasted and 21 of 28 patients reported lower body weight. Insulin and hypoglycaemic drugs were changed from morning to evening dosing in 41% of patients while 18% of patients had their drugs stopped. Conclusion. An educational intervention generated awareness among the patients and helped 43 of 50 patients in making rational decisions about control of diabetes during Ramadan.
  1,033 243 -
Adverse drug reactions and risk factors for discontinuation of multidrug-resistant tuberculosis regimens in Gujarat, western India
Mihir Prafulbhai Rupani, Jigna D Dave, Vijay B Parmar, Manindra Pratap Singh, Khushali Dharmesh Parikh
January-February 2020, 33(1):10-14
DOI:10.4103/0970-258X.308234  PMID:33565479
Background. The predictors for discontinuation of multidrug-resistant tuberculosis (MDR-TB) regimens have not been studied in Gujarat. We aimed to find out the adverse drug reactions (ADRs) and predictors for discontinuation of MDR-TB regimens. Methods. We conducted this cross-sectional study in Bhavnagar district of Gujarat from September to November 2016 through home visits and personal interviews of 94 patients with MDR-TB. Results. Sixty-nine patients with MDR-TB (73%) reported ADRs. Tingling (42.6%), headache (37.2%), numbness (36.2%), dizziness (34%) and nausea (33%) were the most common ADRs. Of the 94 patients, 7.4% were compelled to think of discontinuing their treatment due to ADRs; 8.5% had discontinued Cat-I/Cat-II regimen in the past; 11.7% had discontinued their MDR-TB regimen in the past; 13.8% had their drug regimen changed due to ADRs and 94.7% had good adherence to their current regimen (took at least 80% of their doses till date). ADRs were the reason for 75% of the patients who discontinued their Cat-I/Cat-II regimen in the past and 64% of the patients who discontinued their MDR-TB regimen in the past. Tobacco chewing, poor adherence and thought of discontinuing an MDR-TB regimen due to ADRs were significant predictors for discontinuation on bivariate analysis. On multiple logistic regression, none of the predictors were significant. Conclusions. The frequency of ADRs among patients with MDR-TB is high. ADRs were the primary reason for discontinuing MDR-TB drugs.
  905 206 -
CORRESPONDENCE
The place of ozone therapy in radiotherapy
Yasemin Benderli Cihan
January-February 2020, 33(1):61-62
DOI:10.4103/0970-258X.308262  PMID:33565495
  964 91 -
BOOK REVIEW
Do We Care? India's Health System
Sanjay A Pai
January-February 2020, 33(1):58-58
DOI:10.4103/0970-258X.308258  
  964 78 -
SHORT REPORT
Renal replacement therapy for patients suffering from multiple Asian giant hornet stings: A retrospective study
Ming Zhao, Ying Zhai, Yi Li, Tao Liu, Xiangdong Li, Zheng Liu
January-February 2020, 33(1):15-18
DOI:10.4103/0970-258X.308235  PMID:33565480
Background. From June 2013 to June 2018, patients suffering from Asian giant hornet stings were treated with renal replacement therapy (RRT) in our hospital. We analysed the efficacy of different modalities of RRT in these patients. Methods. A comprehensive clinical history was recorded and a complete physical examination was done for each patient. Three different treatment plans were used in these patients according to the acute physiology and chronic health evaluation (APACHE) II score. These were: (i) haemoperfusion (HP) and intermittent haemodialysis (IHD); (ii) HP and continuous veno-venous haemofiltration (CVVH); and (iii) HP, CVVH and plasma exchange (PE). Results. The average time of RRT was shorter in HP and CVVH or HP, CVVH and PE groups than in the HP and IHD group, and the patients who received HP and CVVH or HP, CVVH and PE had lower levels of blood urea nitrogen and serum creatinine after RRT for 7 days. Conclusion. Our study suggests that HP and CVVH or HP, CVVH and PE are effective treatments for patients suffering from Asian giant hornet stings, who require RRT.
  898 132 -
EDITORIALS
[email protected] and the road ahead
Varad Puntambekar, Tony George Jacob
January-February 2020, 33(1):4-4
DOI:10.4103/0970-258X.308231  PMID:33565477
  855 112 -
CLINICAL CASE REPORTS
Invasive fungal infection with a rare organism in a patient with acute myeloid leukaemia
Mehmet Baysal, Elif Ümit, Ali Caner Ozdover, Onur Kirkizlar, Ahmet Muzaffer Demir
January-February 2020, 33(1):22-23
DOI:10.4103/0970-258X.308237  PMID:33565482
Invasive fungal infections are a major cause for morbidity and mortality in patients with acute myeloid leukaemia (AML). Long duration of hospitalization and increased costs are secondary burdens for patients and caregivers. The clinical manifestations are variable with a spectrum of different organs or systems. Factors related with invasive fungal infections may be categorized as host-related including the underlying disease, treatment and colonization status and pathogen-related including the capacity of the microorganism for defence, growth, tolerance and tissue affinity. The diagnosis of invasive fungal infection is confirmed with histopathological or microbiological demonstration of the microorganism, and commonly treatments are based on probability rather than definitive diagnosis due to patients fragile conditions preventing interventions. We aimed to present the less frequent yet difficult-to-treat organism, Verticillium causing invasive fungal infection in a patient with AML undergoing remission induction therapy.
  670 122 1
SELECTED SUMMARIES
Reducing risk of kidney failure in people with diabetes
Vivekanand Jha
January-February 2020, 33(1):31-32
DOI:10.4103/0970-258X.308239  PMID:33565484
  624 150 -
MEDICAL EDUCATION
Scientific literacy and the medical student: A cross-sectional study
Latika Mohan, Yogesh Singh, Rajesh Kathrotia, Mudera P Cariappa, Anurag Khera, Sirsendu Ghosh
January-February 2020, 33(1):35-37
DOI:10.4103/0970-258X.308242  PMID:33565486
Background. Problem-solving, critical thinking, communication skills and the ability to interpret data are four core components of scientific literacy, which any student must acquire during the educational process. This is of specific relevance to the medical profession as doctors need to be ‘scientific’ in their approach. The nine domains of scientific literacy are further grouped under two major abilities: understanding methods of enquiry that lead to scientific knowledge and the ability to organize, analyse and interpret quantitative data and scientific information. Methods. We included all first-year medical students within the first 2 months of admission in four medical colleges of India. We used the Test of Scientific Literacy Skills, a self- administered questionnaire, which is a validated and standardized tool for evaluating scientific literacy among students. Results. A total of 525 medical students participated in our study over 3 years—335 were males and the majority of students (73.5%) had joined medical college from schools affiliated with the Central Board of School Education system. The presence of scientific literacy skills across the study sample was low. Conclusion. The relative lack of scientific literacy uncovered by our study needs to be addressed by medical colleges, using innovative student-centred approaches and incorporating social media literacy. Reforms are urgently required in the school education system, which serves as a feeder to the medical education system.
  597 133 -
LETTER FROM MUMBAI
Teachers and Students in Medical Colleges
Sunil K Pandya
January-February 2020, 33(1):53-55
DOI:10.4103/0970-258X.308255  PMID:33565490
  608 95 -
SPEAKING FOR MYSELF
Reforming medical education in India: Evolution before revolution
KS Jacob
January-February 2020, 33(1):51-52
DOI:10.4103/0970-258X.308244  PMID:33565489
  595 92 -
SELECTED SUMMARIES
Bowel preparation: No good?
Benjamin Perakath
January-February 2020, 33(1):32-34
DOI:10.4103/0970-258X.308240  PMID:33565485
  568 102 -
CLINICAL CASE REPORTS
An unusual left ventricular outflow tract mass in a patient with systemic lupus erythematosus
Hardeep Kaur Grewal, Manish Bansal, Rahul Mehrotra, Raj Kumar, Roopa Salwan, Anil Bhan, Dheeraj Gautam, Ravi R Kasliwal
January-February 2020, 33(1):19-21
DOI:10.4103/0970-258X.308236  PMID:33565481
A 25-year-old female, with systemic lupus erythematosus and antiphospholipid antibody syndrome, presented with exertional dyspnoea. Echocardiography showed a large (2.0 cm × 1.1 cm), echogenic, heterogeneous mass in the left ventricular outflow tract, under the aortic valve, attached to the ventricular aspect of the anterior mitral leaflet. Tiny flagellar, frond-like structures were seen attached to the surface of the mass. There was mitral regurgitation. These echocardiographic features were suggestive of a papillary fibroelastoma, but the histopathology of the excised mass revealed it to be a thrombus, which was consistent with a diagnosis of non-bacterial thrombotic endocarditis (NBTE). This case represents a rare histopathologically confirmed NBTE presenting as an unusually large mass in the left ventricular outflow tract.
  565 95 -
CORRESPONDENCE
Dental Council of India Criteria for Research Publications: Need for revision
Umesh Wadgave, Mahesh R Khairnar
January-February 2020, 33(1):62-62
DOI:10.4103/0970-258X.308263  PMID:33565496
  561 98 -
[email protected]
MedTech internship diaries 2018
Varad Puntambekar
January-February 2020, 33(1):59-59
DOI:10.4103/0970-258X.308259  PMID:33565493
  535 80 -
IMAGES IN MEDICINE
Hereditary haemorrhagic telangiectasia
Ashishkumar Tapadia, B Mahadevan, Mayank Jain, GS Sameer Kumar, Jayanthi Venkataraman
January-February 2020, 33(1):60-60
DOI:10.4103/0970-258X.308260  PMID:33565494
  468 97 -
HISTORY OF MEDICINE
The first English medical journal
Sunil K Pandya
January-February 2020, 33(1):38-44
DOI:10.4103/0970-258X.308243  PMID:33565487
  444 81 -
ERRATUM
Erratum

January-February 2020, 33(1):34-34
DOI:10.4103/0970-258X.308241  PMID:33565497
  413 94 -
LETTER FROM LONDON
Letter from London
Anna Ruddock
January-February 2020, 33(1):55-55
DOI:10.4103/0970-258X.308256  PMID:33565491
  433 68 -
OBITUARY
Maharaj Kishan Bhan (9 November 1947– 26 January 2020)
Vinod Paul
January-February 2020, 33(1):56-57
DOI:10.4103/0970-258X.308257  PMID:33565492
  352 75 -
NEWS FROM HERE AND THERE
News from here and there

January-February 2020, 33(1):63-64
DOI:10.4103/0970-258X.308264  
  261 37 -