Digital Commons Network^™

Influence Of Intraoperative Lignocaine Infusion On Analgesia, Stress Response, And Recovery Profile In Laparoscopic Cholecystectomy A Randomized Control Study, Reena R. Kadni, G. Prasanna Kumar, Chakravarthy Joel, Varghese K. Zachariah, Priya Pushpavathi, Anil Kumar Narasimha

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Laparoscopic cholecystectomies are performed as daycare procedures. Postoperative pain associated with it may need multimodal opioid-free approaches to fast track the recovery. Intraoperative intravenous lignocaine infusion was employed in this study to observe it effect on analgesia, hemodynamic stress response, and recovery profile in patients undergoing laparoscopic cholecystectomies.

METHODOLOGY AND RESULTS:

This was a randomized placebo-controlled study with enrollment of 64 participants. The “L” group received preservative-free intravenous lignocaine 2% at 1.5 mg/kg bolus followed by continuous infusion at a rate of 1.5 mg/kg/h till skin closure. The “C” group received equal amounts of normal saline. No significant statistical …

Assessment Of Hidden Leprosy Cases In North Karnataka By Leprosy Case Detection Campaign – A Mixed-Method Study, Ooviya Jayaseelan, Deepti M. Kadeangadi, M. S. Shivaswamy

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Leprosy, also known as Hansen's disease, is a chronic infectious disease, caused by Mycobacterium Leprae. India and Indonesia contributed 92% of the South-East Asia Region's caseload.

AIM:

The aim of this study is to identify leprosy cases in the general population by active surveillance.

MATERIALS AND METHODS:

As a part of the leprosy survey, the teams comprised healthcare workers and volunteers who performed house-to-house survey and examined all the household members to identify any suspects with hypopigmented and hypoanesthetic patches. The suspects were examined by the medical officer. Clinically suspected leprosy patients were then referred to the district hospital …

Obesity Among The Urban Poor Evidence From A Community-Based Study Among Adults Residing In An Underprivileged Area Of Bengaluru City, India, Avita Rose Johnson, Sakthi Arasu, Mitchell Singstock, Nancy Angeline

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND AND OBJECTIVE:

Obesity is increasing among the urban poor and is a major risk factor for diabetes, cardiovascular disease, and cancer. The objective of this study is to assess the prevalence and determinants of obesity among adults over the age of 30 years in an underprivileged community of Bengaluru city.

MATERIALS AND METHODS:

A cross-sectional study was conducted in an underprivileged area of Southern Bangalore. Sociodemographic details, diet, and lifestyle risk factors were assessed by a pretested questionnaire. Anthropometric measurements of height, weight, and waist circumference were recorded and World Health Organization Asian cutoffs for body mass index (BMI) …

Encouraging Experiential Learning Throughout The Period Of Medical Training, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The learning which happens in the case of an adult learner, including the medical students occurs in a wide variety of ways and is influenced by multiple factors. Experiential learning, as the name suggests, refers to the learning process that occurs through experience, and can be better understood as the learning via reflection on doing. The basic concept of experiential learning is that it facilitates learning in terms of a direct experience of an individual student, which may occur within or beyond the classroom settings. An undergraduate medical student can get benefited from experiential learning right from the early stages …

Sick Sinus Syndrome And Hyperthyroidism A Rare Phenomenon, Nitesh Kumar, Diwakar Verma, Kapil Gupta, Madhu Kiran, Prakarti Yadav, Shatrughan Pareek

Indian Journal of Health Sciences and Biomedical Research KLEU

Cardiovascular complications play a very crucial part in hyperthyroidism and increased mortality and morbidity risk. Besides tachyarrhythmia, impaired systolic ventricular dysfunction and diastolic dysfunction may cause thyrotoxic cardiomyopathy in a small percentage of the patients, as another high mortality complication. Bradycardia in hyperthyroidism is a rare phenomenon which is associated with the sinus node dysfunction, atrioventricular node dysfunction, and conduction disturbance, or due to the effect of the drugs, i.e. beta-blockers. A 70-year-old female patient was brought to the emergency department with the history of feeling dizziness, lightheadedness, and bradycardia. While waiting in emergency, she had an episode of syncope, …

Value Of Self-Assessment As A Learning Tool In Dental Education And Practice A Descriptive Study, Sunila Bukanakere Sangappa, Radha Madhavi

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Self-assessment (SA) skills are integral to lifelong learning process as they are a mode to share educational responsibility. Therefore, the purpose of this study was to explore the dental undergraduate student's perception, practice of SA, and its impact over their academic and clinical performance.

MATERIALS AND METHODS:

This cross-sectional study was carried out among 444 dental students regarding practice of SA in their academic and clinical practice across all the years for a period of 3 months. Data were collected by a pilot-tested self-administered structured questionnaire adopting convenient sampling and analyzed using SPSS Version 22 Software.

RESULTS:

Mean score …

Study Of “Three Delay Model” Of Maternal Morbidity And Mortality In Two Tertiary Care Hospitals Of Belagavi, Jyoti Singh, Chandra S. Metgud

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Every year millions of women around the world suffer from pregnancy, childbirth, and postpartum complication. Approximately 810 women die every day worldwide from preventable causes related to pregnancy and delivery. The concept of severe acute maternal morbidity or near miss was aptly developed for the present health-care system. The World Health Organization (WHO) has defined “near-miss” as a woman, who is close to death, survives a complication that occurred during pregnancy, delivery, or up to 42 days after the termination of her pregnancy. The important causes of maternal mortality and morbidity have been summarized as the three delays. These …

Lifestyle Behavior Of Patients With Noncommunicable Diseases During Covid-19 Pandemic An Observational Study, Renu Bala, Amit Srivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

Coronavirus disease (COVID-19) poses an unprecedented challenge and adversely affects the lifestyle of people with noncommunicable diseases (NCDs) due to enforced restrictions by the governments.

AIMS:

The study aimed to assess the physical activity and prophylactic behavior, along with change in sleep, alcohol intake, and tobacco consumption during the enforced lockdown.

MATERIALS AND METHODS:

The study was conducted in August 2020 and recruited NCD patients visiting the institute's outpatient department. Questions were formed on prophylactic behavior, changes in sleep, and alcohol and tobacco consumption along with a validated scale of International Physical Activity Questionnaire (IPAQ) Short Form.

RESULTS:

The …

“Mothers Knowledge And Attitude On Feeding Of Banked Human Milk Among Infants” With View To Develop An Information Booklet”, Hussainbi A. Tahasildar, Gavishiddhayya B. Salimath

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Donor breastfeeding is the best natural feeding. Especially in high-risk and preterm infants, donor breast milk is the best source of nutrition. The benefits of breastfeeding for the neonates are already known; when mother breast milk is not flowing due to some medical conditions, then the alternative best source donor breast milk.

OBJECTIVES:

The objective of the study was to assess the knowledge and attitude of mothers on feeding of banked human milk among infants and also to find out associations with sociodemographic variables.

METHODOLOGY:

The study was conducted at KLE'S Dr. Prabhakar Kore Hospital among 100 postnatal mothers …

Effectiveness Of Meditation Programs In Empirically Reducing Stress And Amplifying Cognitive Function, Thus Boosting Individual Health Status A Narrative Overview, Rohan Arora, Reshu Gupta

Indian Journal of Health Sciences and Biomedical Research KLEU

Meditation is increasingly being used to promote general health, to treat stress and stress-related conditions, and is also beginning to find its feet in cognitive therapeutics. This article intends to evaluate its impacts on stress and cognitive function, aiming to augment the understanding of the mechanisms and subsequent implications for individual health. A multistep approach was used for the purpose of selection of articles, which was based on shortlisting of titles, then abstracts and further full texts. Subject to selection criteria, keywords “Meditation,” “stress,” “cognition,” “reducing,” “health,” and “effectiveness” were used to search online databases and conduct hand searches. The …

Scope And Need Of Curriculum Mapping In Accomplishing Learning Outcomes In The Field Of Medical Education, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

Curriculum refers to the complete range of student experiences to which they will be exposed in the educational process. For any curriculum, communicability and transparency have been regarded as the crucial aspects. An extensive search of all materials related to the topic was carried out in the PubMed search engine, and a total of six articles were selected based upon the suitability with the current review objectives and analyzed. Curriculum mapping has been identified as the method to ensure communicability and transparency, but it also plays an important role in bridging the gaps between the declared, taught, and tested curriculum. …

Need For A Holistic Approach To Contain Hepatitis C World Health Organization, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

Hepatitis C has been acknowledged as one of the global public health concerns owing to its universal distribution, high incidence, impaired quality of life, and associated life threatening complications, including death. The need to have an urgent public health response is further emphasized by the fact they tend to cast a major financial burden on the community. Considering the huge burden of the chronic infections, it is high time that the access to affordable testing and treatment is given due importance. However, as with any other program, the success of the program requires sustained financial support and simultaneous investments have …

Digital Devices; A Boon Or Bane Ocular And Musculoskeletal Manifestations During Lockdown In Covid-19 Pandemic Among General Population Of North India, Sneha Kumari, Pankaj Ranjan, Mitasha Singh

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

During the lockdown in COVID-19 days, excessive usage of digital devices leads to various consequences of ocular and musculoskeletal problems, mainly in the form of computer vision syndrome (CVS) and repetitive strain injury (RSI).

Objectives:

The objective of this study is to estimate the prevalence of symptoms of CVS and RSI and their association between the duration of use of electronic devices among the general population of North India during the period of lockdown (March–May, 2020).

Methodology:

The present study was a cross-sectional, descriptive, population-based study conducted during the 2 months period of lockdown between April and May 2020. …

Validity Of The Ind Isodyno Isokinetic Dynamometer Maximum Peak Angular Torque Measure For Right Knee Joint Flexion And Extension Movement, Shubhankar S. Mahapure, Neeraj A. Athavale, Ashok K. Shyam, Parag K. Sancheti, Akshay S. Nirgude, Niranjan R. Bhore

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

IND IsoDyno isokinetic dynamometer is a newly designed dynamometer to measure the isokinetic strength of the knee joint. It is a cost-effective, clinically feasible, and easily available dynamometer which manifests its benefits over the preexisting one.

Aim:

The aim of this study was to assess the validity of IND IsoDyno isokinetic dynamometer with respect to maximum peak angular torque.

Settings and Design:

Criterion-related validity (concurrent validity).

Materials and Methods:

We considered IND IsoDyno isokinetic dynamometer as an index test and TecnoBody IsoMove isokinetic dynamometer as our reference standard. In this study, we assessed the validity of the IND IsoDyno …

Case-Based Learning In Neurophysiology An Educational Paradigm For Preparing Undergraduate Medical Students For Better Clinical Acumen, Reshu Gupta, Raman Grover

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

Case-based learning (CBL) is an effective educational strategy of solidifying basic physiological concepts and integrating them to clinical application and clinical sciences. The study aimed to measure its effectiveness in achieving the defined learning outcomes and assess and evaluate the academic performance and perception of 1

st

year medical students in neurophysiology toward developing a better clinical acumen.

Materials and Methods:

A quasi-experimental study of 100 1

st

year medical students was conducted. 89 students in the first and 86 in the second CBL session were final participants after dropouts. After a conventional lecture on neurophysiology, they were assessed …

Cross-Sectional Study Of Awareness Toward Covid-19 Among Medical Students Of Kumaun Region Of Uttarakhand, Thakkar Hemaben, Sujan Singh, Poonam Kumari, Mohd. Maroof, Maneesh Bhatt

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

COVID-19 pandemic has been declared as a public health emergency of international concern by the World Health Organization. Being highly contagious in nature, it has become a major concern for healthcare profession.

Aims and Objectives:

The aim of the study is to assess the medical students' awareness regarding risk perception, disease transmission, and prevention of COVID-19 and to study their source of information and activities affected by lockdown.

Materials and Methods:

We conducted an online, descriptive cross-sectional study in April–May 2020, using WhatsApp Messenger. Medical students of 1

st

-year and 3

rd

-year (posted in community medicine department) …

Understanding Mental Health Perspectives Of Covid-19 Through The Lens Of Ayurveda, Janmejaya Samal

Indian Journal of Health Sciences and Biomedical Research KLEU

Coronavirus disease-2019 (COVID-19) is a global public health emergency and has affected more than 200 countries in the world. It was declared as a Public Health Emergency of International Concern by the end of January 2020 and a pandemic in March 2020. In addition to the public health challenges, this pandemic has created another parallel pandemic of mental health problems. Furthermore, the existing mental health problems have also been seen to exacerbate owing to this pandemic. The mental health problems are both seen among the community members and the health-care providers those who are in the continuous forefront of service …

Burden, Epidemiological Pattern, And Surveillance Gap Of Rubella In Nigeria A Call For Routine Vaccination Policy, Kabir Adekunle Durowade, Omotosho Ibrahim Musa, Maryam Abimbola Jimoh, Adekunle Ganiyu Salaudeen, Oladimeji Akeem Bolarinwa, Omowunmi Qubrat Bakare, Lukman Omotayo Omokanye

Indian Journal of Health Sciences and Biomedical Research KLEU

Rubella is an epidemic-prone disease with endemic transmission in Nigeria. It is a vaccine-preventable disease caused by the rubella virus whose devastating teratogenic effect makes it a disease of major public health importance when it occurs in pregnancy leading to congenital rubella syndrome (CRS) in infants. This article seeks to do a review of the burden, epidemiology, and examine the rubella surveillance gap in Nigeria. This is a review of literatures and the use of available World Health Organization secondary surveillance data to establish the burden, epidemiological pattern, and surveillance gap of rubella in Nigeria. Data were analyzed and presented …

Infection Control Measures During Covid-19 Pandemic – An Otorhinolaryngological And Head-And-Neck Perspective, Santosh Kumar Swain, Sanjay Kumar

Indian Journal of Health Sciences and Biomedical Research KLEU

Otorhinolaryngologists and head-and-neck surgeons are considered as high-risk group of health-care workers due to their nature of work for exposure to the respiratory tract. During routine assessment and treatment of patients, otorhinolaryngologists and head-and-neck surgeons with their assisting staffs inevitably come in contact with secretions of the respiratory tract which may become aerosolized at time of the sneeze or cough. All otorhinolaryngology patients must be considered as potential carriers of COVID-19. A great emphasis must be given on the history such as flu-like symptoms, travel history, and contact history with potential carriers which will help triage patients into high risk. …

Sustaining The Delivery Of Malaria Elimination Services Amidst An Ongoing Coronavirus Disease 2019 Outbreak In The African Region, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The Corona Virus Disease-2019 (COVID-19) pandemic has become a global public health priority and it has compelled multiple nations to divert their resources for the containment of the disease at the earliest. With regard to malaria, the African region is the most affected one, accounting for 93% of the reported cases worldwide. However, since the emergence of the COVID-19 outbreak, there is a sense of fear about the disease among the health sector personnel. It won't be wrong to say that COVID-19 outbreak has exposed weaknesses in our preparedness activities, but then we have to identify a balance between the …

Scope Of Organ System-Based Curriculum In The Delivery Of Medical Education A Critique, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The role of basic science subjects in the making of a competent medical graduate and a health care professional is crucial and thus multiple number of approaches have been tried to merge basic science with clinical medicine. The organ-system based medical curriculum is a type of integrated teaching, which has been advocated and adopted across different medical curriculum and has delivered promising results, especially with regard to increasing the depth of medical knowledge and a comprehensive understanding of each of the organ systems. Even though, this form of curriculum has been adopted by different medical schools, we have to acknowledge …

Extending An Equitable Covid-19 Response To The Disabled Individuals, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The ongoing coronavirus disease-2019 (COVID-19) pandemic has affected everyone, but the impact is relatively higher among people who are vulnerable, such as disabled, refugee, migrants, elderly, and suffering from preexisting illness. The disabled people are more at the risk of acquisition of infection owing to the limited access to the public health messaging and the fact that if they are subjected to physical distancing, they will find it extremely difficult to survive as they depend on their caregivers for their routine activities. In these difficult times, it is of utmost importance that disabled persons should minimize the probability of exposure …

Onlay Preputial Flap Urethroplasty For Children With Mid- Or Proximal Penile Hypospadias With Chordee, R. B. Nerli, Priyeshkumar Patel, Shridhar C. Ghagane, Sushant Deole, Sreeharsha Nutalapati, Murigendra B. Hiremath, Neeraj S. Dixit

Indian Journal of Health Sciences and Biomedical Research KLEU

Introduction:

We report our results of preputial flap onlay urethroplasty for the one-stage repair of mid- and proximal penile hypospadias with chordee.

Materials and Methods:

We retrospectively reviewed the hospital data base for children undergoing onlay flap urethroplasty and hypospadias repair for mid- or proximal penile hypospadias with chordee.

Results:

During the study period January 2000–December 2017, 21 children underwent onlay preputial flap urethroplasty. The procedure was successful in 15 (71.42%) children with no need to undergo further procedures or operations. There were five urethrocutaneous fistulas and dehiscence of glans in one.

Conclusions:

An onlay urethroplasty using the preputial flap …

Envisaging Capacity Building Among Faculty Members To Ensure Successful Implementation Of Integrated Teaching In Medical Colleges, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

Integrated teaching in the field of medical education has been looked upon as the key approach to deliver complex information to the medical students in a relatively easier manner. In order to address the existing lacunae in the traditional curriculum with regard to integrated teaching, specific provisions in terms of various levels, topics and nature of integration, has been clearly specified in the recently implemented competency-based curriculum for undergraduate students. The successful implementation of the integrated teaching program across all the phases will essentially require support from all the concerned stakeholders, especially the management, administration, curriculum committee, medical education unit, …

Barefoot Nurse Project A Micro-Entrepreneurship Health Model For Universal Access To The Screening Of Diseases, Ensuring Self-Sustainability In India, Tn Sathyanarayana, Biswamitra Sahu, Achala Gopalkrishna Pai, P. V. Vivekananda, Avishek Hazra

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

There is still a substantial service gap in India, especially in preventive screening and referral of noncommunicable diseases. There is a growing evidence supporting the role of community health workers (CHWs) in screening diseases and their effectiveness in averting noncommunicable diseases.

Aim:

The aim of this article is to describe a model of CHW-barefoot nurse (BFN) (concept, design, recruitment, training, services, products, and evaluation) and share some initial findings.

Setting and Design:

This study was implemented in seven locations (Doddaballapura, Nelamangala, Magadi, Bidar, Aland, Hadagali, and Aurad) of Karnataka.

Materials and Methods:

The model of BFN, design, intervention development, …

Perspective Of Medical Students On Online Teaching-Learning Process During Covid-19 Pandemic, Pradnya Shree Dhotre, Abdul Kayyum Shaikh, Shree Vinayak Dhotre

Indian Journal of Health Sciences and Biomedical Research KLEU

Context:

In India, responses to the COVID-19 pandemic in medical education resulted in closures of medical colleges and adoption of online teaching-learning methods, which is challenging for both faculty and students.

Aim and Objectives:

The aim of this study is to know the perspectives of medical students on online teaching-learning method and to evaluate the efficacy of online teaching-learning process.

Subjects and Methods:

One hundred students of the first MBBS course were included in the study. The present study was conducted in a form of online survey using Google forms.

Results:

A total of 97 students participated willingly in the …

The Immunity Boosting Circus, Jessica Philip

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Medical Professionals Need And Role Of Professionalism, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

In the field of health and patient care, no more doctors are acknowledged as healers and this has resulted predominantly because the current breed of doctors has fallen short in sustaining the high standards set by the earlier generation of doctors. If we introspect, it is us only who have to be blamed for the current trends and keeping all these facts into account, there is an urgent need to take steps to resurrect the images of doctors in the eyes of the community. It is a fact that present day students' enters the course without any priming and have …

Coronavirus Disease 2019 Outbreak Effective Containment Need And Scope Of Information Network And Risk Communication, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

Corona Virus Disease-2019 (COVID-19) outbreak continues to increase in terms of caseload and geographical distribution and the attributed deaths worldwide. Even though, the public health authorities should aim for the strengthening of all the domains, an extremely crucial element of the response plan has to be designing a risk communication system, which is in place for ensuring that correct information is delivered to the community in real-time. In order to respond to this concern, the World Health Organization has designed an information network for epidemics, which is an innovative tool and plays a defining role in ensuring the provision of …

Pharmacist-Led Intervention On Adverse Events Following Immunization At A Tertiary Care Hospital A Randomized Controlled Study, Nagel Baptist Menezes, Shashikala Wali, Madiwalayya Shivakantayya Ganachari

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

An adverse event following immunization (AEFI) is defined as “any untoward medical occurrence which follows immunization and which does not necessarily have a causal relationship with the usage of the vaccine.” Pharmacists who do not administer vaccines also have a role in promoting the importance of immunization in other ways, which include: (1) history and screening of patients, (2) patient counseling, (3) documentation, (4) formulary management, (5) administrative measures, and (6) public education and awareness.

AIMS:

This study aimed to assess AEFI and record and report AEFIs.

SUBJECTS AND METHODS:

Forty-seven individuals were screened and randomized into two groups. …