ABSTRACT
While the use of Traditional, Complimentary, and Integrative Medicine (TCIM) is substantial, it continues to existat the periphery of allopathic medicine. This article provides a global scenario with the strengths and weaknesses of the present health care systems. Availability, affordability, and accessibility of healthcare coupledwith uneven growth and the double burden of diseases have become major concerns around the globe. Thisarticle emphasizes the need for mindset change from illness-disease-drug centric curative to person-healthwellness centric preventive and promotive approaches. It highlights the innovation deficit faced by conventionalallopathic medicine and delineates the significant benefits of the integration of conventional medicine withtraditional, complementary and integrative therapies in the medical curriculum.Medical heterogeneity is a rising trend, and people are trying to explore various options, including allopathic,complementary, and alternative medicine. In such a situation, knowledge from Yoga, Ayurveda, TraditionalChinese medicine/Acupuncture, and Homeopathy may play a vital role. We can progress with an appropriatemodel by integrating allopathic medicine with traditional medicine systems for affordable health care. Severalmedical scientists have contributed positive reflections and benefits of integrative approaches to health. Theseprovide not only clear insight into the historical roots of the healing traditions of traditional and complementary medicine, but also into the entire concept of integrative approaches to health.
ABSTRACT
The medical students undergo tremendous stress and mental pressure during their academic life and clinicalstudies. The high level of anxiety and depression among medical students is very common occurrence combinedwith the academic pressure that has a severe impact on their mental and physical health. The current study aimsto explore various articles presented by scholars in the field of analysing the impact of stress causing anxietyand depression in medical students and evaluating its impact on prevalence of depression among medicalstudents. This study critically analyses and reviews articles published in this decade for analysing the role ofdepression and anxiety and experiences of medical students and the reaction to stress. The central idea of thestudy understands different perspectives presented by scholars in the field of stress and anxiety and its prevalence among the medical students highlighting the causes and key issues. This is vital for understanding thecritical factors affecting the mental health and physical well-being of the medical students in order to derivesuggestions for early identification and providing for support by the medical schools. The study had usedelectronic databases for rummaging and reviewing literature articles published on stress and other psychological determinants among medical students and management of stress. In the current study, data were extractedthrough reviewing various related research articles focusing more on the prevalence and suggest possible stressmanagement strategies in medical students. The current study focuses on findings and views of different scholars with stress as an epicentre of discussion and other factors such as environmental factors, social andeconomic factors and so on that directly or indirectly impacts on the medical student’s mental health. Thepurpose of the study to analyse the research articles to acknowledge the quantum of research done in the fieldof understanding the causes and impact of stress and depression among medical students and mark the areaswhere further research can be conducted
ABSTRACT
Purpose: Literature suggests that there are two common teaching methods in clinical skills are the four-stepapproach of Peyton and the theory of instructional design by Gagne. The combination of these two teachingmethods was planned and implemented in the undergraduate medical program at Avalon University, Curacao,in training and teaching clinical skills during the firsttwo years of the program. The objective behind developingthis teaching modality is to offer more chances to repeat the demonstration by the instructors, to rehearsal bystudents, and to provide instant feedback on specific concepts of clinical skills. This study aims to examinefurther and evaluate this teaching method for clinical skills.Methods: This is a quasi-experimental study that was conducted to evaluate the new teaching method. The datawere gathered in summer 2017, which is a control group and for another three groups; fall 2017, winter 2018,and summer 2018, which are study groups. A survey of course evaluations was developed to collect bothqualitative and quantitative feedback from students at the end of the course. The quantitative questionnaireincluded 17 questions used a five-point Likert scale with one of the following responses; one indicates stronglydisagree, two-disagree, three-neutral/no opinion, four-agree, and five-strongly agree. Qualitative analysis wasdone based on the responses from students for open-ended questions. Quantitative data were gathered even forstudents’ grades on the final assessments.Results: Students’ responses (survey questionnaire) data were analyzed for descriptive statistics. The responserate for the summer 2017 group (control) is 100% and 95.65%, 87.5%, and 90.9% for the three study groups,respectively. Students’ feedback for all questions showed improved satisfaction with the new method of teaching.The class performance (mean grade) of different groups wasshown a difference which is statistically significant(p<0.05) on the Kruskal-Wallis test.Conclusion: The new modality of teaching in clinical skills showed that students are more satisfied and alsoimproved students’ performance.
ABSTRACT
Background: Poisoning with organophosphorous substances is the commonest cause of inpatient mortality among all poisonings in developing countries like India. This study is undertaken with an aim of assessing simple parameters like GCS and QTc (marker of ventricular arrythmias) in predicting the outcome and complications of organophosphate compound poisoning considering the mortality and sufferings of Organophosphorous poisoning patients. Aim: To assess the utility of GCS score and QTc interval in predicting prognosis in patients who had consumed organophosphate and carbamate poisoning and to assess whether the above parameters helps to identify the high risk groups requiring mechanical ventilation. Materials and methods: This study was conducted among 200 organophosphate and carbamate poisoning patients who were admitted at Government Rajaji Hospital, Madurai from February 2014 to September 2014. After taking detailed history and physical examination and investigations the Glasgow coma scale score and QTc interval at the time of admission was calculated. Patients with GCS score < 13 and QTc interval > 0.44s in males and 0.46s in females as poor outcome. Results: There was a linear relation with QTc interval and severity of Organophosphorous poisoning i.e. as the QTc interval increases the severity of poisoning increases. There was an inverse relationship Prabhakaran R, Marannan N, Ponnusamy Kumar, Vijayakumari Vrinda. A study on glasgow coma scale score and QTC interval in predicting prognosis and outcome of organophosphate and carbamate poisoning. IAIM, 2017; 4(6): 1-7. Page 2 between the GCS score and severity of Poisoning, .i.e. as the GCS decreases the severity of poisoning increases. Conclusion: Our study showed that respiratory failure in patients with OP compound poisoning can be predicted at admission by simple parameters like lower GCS and prolonged QTc interval in ECG.