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   Table of Contents - Current issue
January-June 2020
Volume 2 | Issue 1
Page Nos. 1-23

Online since Wednesday, July 7, 2021

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Pandemics are fought with right information and empowered people,'till we win' does exactly that p. 1
Bhupendra Kumar Rana
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Unveiling the novel coronavirus in the laboratory p. 3
KrishnaRao Arthi, Chakravarthy Narasimhachar Srinivas, Narayanan Preethii
Coronavirus Disease (COVID 19) outbreak is threatening the world as a whole. A novel bat coronavirus, whose pathogenesis is unknown to the medical fraternity is posing a challenge. The world is left with little option in the absence of a definitive treatment modality. Laboratory diagnosis of the severe acute respiratory syndrome CoV2 virus plays a pivotal role in categorizing patients for treatment, isolation, and quarantine. Real-time reverse transcriptase-polymerase chain reaction is the main modality of diagnosing the disease complimented by serological methods and biochemical parameters. Repeat testing for suspected cases remains our slogan.
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A multicentric study of practice of surgical site marking p. 9
Lallu Joseph, Bhawna Gulati, Umashankar Raju, Arun Mavaji, Vijay Agarwal
Objective: The objective of this study was to evaluate the process of surgical site marking (SSM) and compare the actual practice with the recommended practices. Methodology: This was a prospective study involving 768 patients from 19 accredited hospitals located in different regions of India and are members of the Consortium of Accredited Healthcare Organizations. The study was performed over a period of 45 days. While performing the study, proportionate to size sampling methodology was used. The total number of surgeries performed per month in the top six specialties (in terms of volume) of the participating hospitals were considered. Further, in a particular specialty out of the six top specialties of the hospital, the auditors randomly selected the top three most frequently performed surgeries and studied the SSM process as per the predefined Pro forma. The observations of the study were then compared (and analyzed) with the recommended practices as per the guide to SSM, High 5 S by Haute Autorité d e Santé and CEPPRAL, October 2012. Results: In this study, the actual side marking was done in 85% of the surgeries that required side marking and 81% had site marking done. Surgical site in majority of the patients was marked in preoperative bay (43.8%). Moreover, surgical sites in 57.9% of the patients were marked by operating surgeons themselves, while others were delegated to nurses or technicians. Surgical side marking was done on 88.3% of the surgeries performed on paired organs. In surgeries with laterality such as hernia repair, the marking was done in 90% when the open surgery was performed and 70% for laparoscopic surgeries. Surgical site markings were visible before and after the site preparation in 63.2% and 46.5% of patients, respectively. It was pertinent to note that the SSM markings were not visible in 17.8% and 34.5% of the cases before and after skin preparation and 19% did not have the site marking. This percentage is quite high and thus an important area of concern. In addition, only in 36.1% of the patients, the SSM was visible within 6 inches from the incision. Crosses (27.7%) were the most common markings used. It is crucial that the nurses checked the patient's SSM only in 42.7% of cases in the wards and 74.1% of cases preoperatively in operation theater (OT), thereby a strong need to strengthening, streamlining, and standardization of the process of SSM to avoid missing out of cases. The surgical site marks were verbally and physically checked in 6.8% and 67.3% of the patients and not checked for 25.9% of the cases. Similarly, the surgical team inside the OT checked the surgical site marks verbally and physically in 17.6% and 77.7% of the patients, respectively. Conclusions: The findings of this study demonstrate that SSM procedure is practiced in majority of the hospital audited, but operating surgeons involved in this procedure were far from desired. Surgeons should be sensitized and educated and specialty-based protocols are to be framed so that they are strictly followed. There is a need to bring about national guidelines on the safe practice of SSM. Once protocols are in place and implemented, further studies will be required in future to assess their practice.
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Five-element music relieves the anxiety and insomnia of medical staff against COVID-19 in the period of medical observation in a single recuperation center in China p. 15
Junfang Huai, Xiaoyong Hui, Danhong Yan, Wangchun Xu, Dingxiang Lin, Jing Xiong, Qianli Jiang, Meixian Zhang
Objective: The medical staff fighting against COVID-19 virus are under great pressure. Anxiety and insomnia are common problems that are experienced and which need to be actively addressed when they returned from the epidemic front line. Five-element music (a kind of Chinese traditional music) has been tried for this purpose. Subjects and Methods: The medical staff who volunteered to participate in the trial were randomly divided into two groups. After a questionnaire and classification of their emotional type, both the groups received general music exposure. Then, Chinese five-element music is offered to the study group. After the trial, the improvement of anxiety and insomnia was evaluated by comparing the Self-Rating Anxiety Scale (SAS) and Self-Rating Scale of Sleep (SRSS) scores before and after the intervention. Results: The SAS and SRSS scores of the two groups demonstrated no obvious difference before recuperation and the number of people taking medicine was roughly the same. After the intervention of Chinese five-element music, the SAS and SRSS scores were comparatively better (P < 0.05) in the study group. The anxiety and insomnia scores significantly decreased (P = 0.001 and P = 0.000, respectively) and fewer pills were taken. Conclusion: Chinese five-element music during medical observation is effective in reducing anxiety and insomnia in medical staff treating COVID-19.
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Assessment of periodontal hygiene, health, and myths among menopausal and postmenopausal women visiting outpatient department: A cross-sectional study p. 19
Malvika Singh, Manju Jamwal
Context: Menopause and postmenopausal phase has often been linked to periodontitis. Aims: The aim of this study was to assess the periodontal health awareness, methods adopted to maintain hygiene and prevalent myths regarding periodontal health among menopause and postmenopause women. Settings and Design: A total of 1115 menopausal and postmenopausal females participated in the study. Subjects and Methods: After complete demographic assessment of participants, four questionnaires were provided to the participants in which they had to choose the option they felt was correct. Statistical analysis used mean and standard deviation for continuous variables and frequency and percentage for categorical variables were calculated and tabulated. Results: Majority of participants self-reported some form of periodontal health problems with burning sensation in the mouth and tongue as a chief complaint leading the survey. Very few participants had never visited a dentist and an abundant number of menopausal and postmenopausal females reported hesitation in getting periodontal treatment citing prevalence of certain myths regarding the same. Irrespective of the educational qualification, a highly significant number of participants were unaware of the importance of periodontal health during menopause and postmenopause and believed in age-old homemade treatment for the same. Conclusions: The oral health care still remains on the backseat in care provided to menopausal and postmenopausal females.
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