• Users Online: 76
  • Print this page
  • Email this page
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
   Table of Contents - Current issue
Coverpage
September-December 2020
Volume 1 | Issue 2
Page Nos. 73-162

Online since Wednesday, December 16, 2020

Accessed 8,556 times.

PDF access policy
Journal allows immediate open access to content in HTML + PDF
View as eBookView issue as eBook
Access StatisticsIssue statistics
RSS FeedRSS
Hide all abstracts  Show selected abstracts  Export selected to  Add to my list
EDITORIALS  

COVID-19 and its impact on urology training: Going digital is the way forward p. 73
C Danny Darlington, Rohan J Mammen, Sunil Kumar Chaurasia, Shiv Charan Navriya, Kim J Mammen
DOI:10.4103/JME.JME_114_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Fatty liver disease is a neglected non-communicable disease in world health organization global action plan for prevention and control of non-communicable diseases 2013–2020: A call for policy action p. 75
Ajeet Singh Bhadoria, Surabhi Mishra, Ravi Kant, Samiran Nundy
DOI:10.4103/JME.JME_156_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

COVID-19 - Nature's Repeating calls to awaken human beings p. 78
Prasan Kumar Panda, Yogesh Arvind Bahurupi
DOI:10.4103/JME.JME_117_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
ORIGINAL ARTICLES Top

Role of intraoperative neuromonitoring in spine surgery: A retrospective study p. 80
Syed Ifthekar, Kaustubh Ahuja, Samarth Mittal, Gagandeep Yadav, Nikhil Goyal, Arvind Singh Rana, Pankaj Kandwal
DOI:10.4103/JME.JME_35_20  
Background: Iatrogenic neurological injury resulting during surgical intervention is a devastating complication not only for patient but also for the operating surgeon. Even with best efforts, the risk remains approximately 5%. Aims: This study aims to study the role of intraoperative neuromonitoring (IONM) in non-deformed spine surgeries and to find out the sensitivity and specificity. Settings and Design: Tertiary health-care centre. Retrospective study with data of the patients operated from January 2019 to January 2020 was reviewed and evaluated. Materials and Methods: Patients with spinal fractures, spondylodiscitis, bony tumours of spine and degenerative spinal disorders without neurological deficit were included. The patients with spinal deformity and with prior neurological deficits were excluded. Group A: the patients with no IONM signal drop during procedure, Group B: the patients who experienced significant drop in signal during surgery. Statistical Analysis Used: Data entry-MS Excel, Data analysis-SPSS 23.0 version for windows, descriptive statistics-mean ± numerical variable, null hypothesis-paired test-two sample for mean (<0.05 = significant). Results: Fifty-nine patients were included. Of 59, 50 patients had no significant drop, and 9 patients had permanent drop in signals. The mean blood loss in Group A was 735 ± 442.1 ml and was 978.9 ± 829 ml in Group B (P = 0.006). There was no signal drop in 39 patients. The sensitivity and specificity according to the above data in our series was 60% (confidence interval [CI] = 0.613–0.586) and 88% (CI = 0.891–0.886). Conclusions: IONM is fairly sensitive and very specific for detecting intraoperative neural compromise. There is significant correlation between the blood loss in the surgery and signal drop.
[ABSTRACT]  [HTML Full text]  [PDF]  [Sword Plugin for Repository]Beta

Changing paradigm of practical assessment modalities in medical education in the era of COVID-19: A cross-sectional study p. 85
Sanjeev Kumar Mittal, Ranjeeta Kumari, Rajesh Kathrotia, Manisha Bisht, Sunita Mittal, Prashant Manohar Patil, Ashish Bhute, Bandhubaigari Hidayathulla, Vartika Saxena, Manoj Gupta, Ravi Kant
DOI:10.4103/JME.JME_145_20  
Introduction: Medical education is a process of continuous learning and assessments, which are essential benchmarks in the whole education process. In view of COVID 19 pandemic, institute took an astute step of conducting video conferencing mode of practical examination (VCMPE) through online video platforms to reduce risk of transmission. This study was designed to undertake a SWOT analysis of VCMPE from the perspective of students and examiners. Methods: A cross sectional descriptive study was conducted from May to July 2020, among all final year postgraduate students and their respective examiners. A total of 95 students and 80 examiners were included in the study. Data collection was done through online google forms. Responses to questions were expected in the format of Likert scale and as open-ended responses, which were grouped under common themes and reported as percentages. Results: Response rate of students was 66.3%, while that of examiners was 28.7%. Interaction with examiners, ease of interactions during exam, ability to understand conversation and overall experience regarding the VCMPE was rated to be good to very good by 77.8% to 92% of the students. The major weakness stated by both students and examiners was related to internet connectivity issues. Examiners reported limitations with respect to complete assessment of all domains and some were concerned with fairness of examination in VCMPE. The main strength reported was the potential of VCMPE to prevent transmission of COVID19 disease and its cost effectiveness. Conclusions: VCMPE is an innovative approach towards summative assessment of practical knowledge and skills of postgraduate students in the era of COVID19 with a primary aim to prevent transmission of COVID 19. VCMPE may be a workable alternative during critical situations like pandemic, genuine reason of candidate's absence to appear in practical examination or in unprecedented absence of one of the external examiner
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Study of pre-analytical errors in haematology laboratory: A single-centre experience p. 92
Harish Chandra, Arvind Kumar Gupta, Neha Singh
DOI:10.4103/JME.JME_48_20  
Aims and Objectives: Total quality management is an essential component of laboratory to maintain quality and includes pre-analytical, analytical and post-analytical phases. Pre-analytical phase starts from ordering investigation by the clinician till it is analysed in the laboratory. It is essential that a pathologist is aware of the confounding factors that may lead to pre-analytical errors with the knowledge of reducing them to improve the quality of the lab. The present study was conducted to evaluate the pre-analytical errors in the haematology laboratory and steps taken to minimise it. Materials and Methods: The study was conducted in the Haematology Laboratory of Pathology Department, All India Institute of Medical Sciences, Rishikesh, over a period of 4 years and included all the blood samples analysed in the lab. The pre-analytical variables including requisition form, patient preparation, labelling, sample collection, quality and transportation were analysed for the errors along with the corrective actions taken to minimise them. Results: A total of 25,15,583 investigations were received in the haematology laboratory over a period of 4 years. The total errors observed in the haematology lab in pre-analytical phase were 13,031 comprising 0.51% of total haematological investigations during the study period. The most common error observed was due to clotted sample (40.3%), followed by haemolysed samples (15%) and incomplete or wrongly filled requisition forms (10%). Conclusion: Pre-analytical phase forms an integral part of total quality management system and its analysis is essential to minimise the errors in haematology lab. The quality of blood sample with completely filled requisition forms and prompt transportation of sample to the lab are essential components to avoid pre-analytical errors. In addition, continuous training and acknowledgement of non-conformance with root cause analysis is the basic key for reducing errors and improving quality of haematology lab.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
REVIEW ARTICLES Top

Safe anaesthesia practices in a budding institute: How far have we reached? p. 96
Ajay Kumar, Bhavna Gupta, Anish Gupta, Vijay Adabala, Sagarika Panda, Ravi Kant
DOI:10.4103/JME.JME_14_20  
Anaesthesia is a medical speciality that is pertinent to safety of patients who are undergoing surgical procedures. The type of anaesthesia, critical care and pain services is considered as a benchmark of quality of care provided in any tertiary care institute. This is prerequisite in order to provide quality of care based on sound organisation, good clinical practice and adequate communication with other healthcare workers involved. Several important efforts have been undertaken especially in an integrated manner in developing countries, where anaesthesia services are often provided by unqualified personnel at remote places. The principal reasons in the resource poor areas are critical shortage of trained anaesthesia providers. The patient safety plan must provide a systematic, coordinated and continuous approach to the reduction of medical errors. This includes quality of care, development of guidelines, clinical audits, education and training. In addition, importance of other tools like critical incident reporting, use of simulation for training of residents and staffs and use of checklists are also growing. This article highlights the development of department of anaesthesia in a remote location of India and it focuses on the important elements of safe anaesthesia practice, use of advanced model of teaching by the faculty members and how the anaesthesiologist being expert in critical care and airway management have provided par excellence services in the current challenging times of COVID-19 pandemic crisis situation.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Inclusion of stress management protocols in the management of gestational diabetes mellitus: Re-visiting Indian guidelines p. 100
Surabhi Mishra, Chythra R Rao, Ajeet Singh Bhadoria, Sudip Bhattacharya
DOI:10.4103/JME.JME_100_20  
Gestational diabetes mellitus (GDM) has emerged as a country-wide public health problem. Beyond perinatal implications, GDM is recognized as precursor for most chronic lifestyle diseases. Despite this, the existing Indian guidelines didn't address stress management during pregnancy. In this regard, the present manuscript aims to identify the paralleled need of stress management during pregnancy and suggests related operational strategies for possible inclusion within the existing GDM guidelines of India. As psychological stress in India is already being managed under National Mental Health Programme (NMHP), national level integration of NMHP and Reproductive and Child Health (RCH) will go a long way in providing comprehensive GDM care by avoiding duplication of services and effective utilization of scarce resources.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CASE REPORTS Top

‘Molten Candle Wax’ Pleural calcification p. 103
Mayank Mishra, Subodh Kumar
DOI:10.4103/JME.JME_49_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Iso-sexual precocious puberty associated with primary hypothyroidism–Van Wyk–Grumbach syndrome: An uncommon presentation of a common disorder p. 105
Sonalika Mehta, Prashant K Verma, Swathi Chacham, Nowneet Kumar Bhat
DOI:10.4103/JME.JME_2_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Anomalous communication between pulmonary artery and left atrium: A rare cause of cyanosis p. 109
Smily Sharma, Udit Chauhan, Prashant Kumar Verma, Vinod Paul, Pankaj Sharma
DOI:10.4103/JME.JME_12_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
SPEAKING FOR MYSELF Top

When will we function effectively for the benefit of our country? p. 113
Sunil K Pandya
DOI:10.4103/JME.JME_167_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
MEDICAL EDUCATION Top

Undergraduate medical education in India p. 117
Muthu Krishna Mani
DOI:10.4103/JME.JME_157_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
OBITUARY Top

Sivaramakrishna Iyer Padmavati (1917–2020) p. 121
Rajiv Narang, R Krishna Kumar
DOI:10.4103/JME.JME_175_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

In memoriam: Professor Rakesh Tandon (1941–2020) - A man with a golden heart p. 123
Pramod Garg
DOI:10.4103/JME.JME_174_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Prof. S. M. Chandramohan (1957–2020) p. 126
Ramesh Ardhanari
DOI:10.4103/JME.JME_181_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CLINICAL IMAGE Top

Ascariasis and Intestinal Obstruction: Pre-operative hints! p. 128
Sruthi Shasheendran, Enono Yhoshu, Gyanendra Chaudhary, Manish Kumar Gupta
DOI:10.4103/JME.JME_47_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CONTROVERSIES IN MEDICINE Top

Re-imagining private healthcare in India p. 129
Naresh Trehan
DOI:10.4103/JME.JME_173_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Stronger government health sub-system is the way to advance universal health coverage in India p. 133
Chandrakant Lahariya
DOI:10.4103/JME.JME_165_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
HOW TO DO IT Top

Fetal and infant embalming- A cost effective approach p. 138
Pooja Bhadoria, Mathew Joseph, Amarjyoti Chaturvedi, Brijendra Singh
DOI:10.4103/JME.JME_155_20  
[HTML Full text]  [PDF]  [Sword Plugin for Repository]Beta
BRIEF COMMUNICATION Top

Intraoperative bronchospasm following intravenous diclofenac: An analgesic consideration p. 142
Amiya Kumar Barik, Praveen Talawar, Ajit Kumar, Priyanka Gupta
DOI:10.4103/JME.JME_25_20  
[HTML Full text]  [PDF]  [Sword Plugin for Repository]Beta
STUDENTíS SECTION Top

The advantages and disadvantages of online teaching in medical education Highly accessed article p. 144
Stuty Jayara
DOI:10.4103/JME.JME_159_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
NURSESí SECTION Top

Status of nurses in India: Current situation analysis and strategies to improve Highly accessed article p. 147
Suresh K Sharma, Kalpana Thakur, Pastin Pushpa Rani Peter
DOI:10.4103/JME.JME_164_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
PEOPLE WE ADMIRE Top

Interview with environmentalist: Shri Sunderlal Bahuguna p. 153
Nishu Jha, Ajeet Singh Bhadoria, Manoj Gupta
DOI:10.4103/JME.JME_163_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CONFERENCE REPORT Top

Report on the launch of Journal of Medical Evidence p. 155
Ajeet Singh Bhadoria, Ravi Kant, Samiran Nundy
DOI:10.4103/JME.JME_162_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
JOURNAL SCAN Top

Hybridisation of evidence-based medicine with evidence-based management to minimise overuse and maximise quality in healthcare p. 156
Sri Aurobindo Prasad Das, Samiran Nundy
DOI:10.4103/JME.JME_66_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
MEDICINE AND SOCIETY Top

Mental health and COVID p. 159
Sanjay Chugh
DOI:10.4103/JME.JME_186_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
LETTERS TO EDITOR Top

Congratulations team AIIMS Rishikesh p. 161
Pallavi Ahluwalia
DOI:10.4103/JME.JME_176_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Inception of journal of medical evidence: Changing perceptions – and triggering innovation p. 162
Lalit Gupta
DOI:10.4103/JME.JME_180_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta