ABSTRACT
Background: Medical ethics teaching has received little attention in India's undergraduate medical curriculum, so the National Medical Commission’s formal inclusion of medical ethics in the new competency-based curriculum (CBME) is creditable. However, the policymakers have left out the most crucial stakeholders — the teachers. This study was conducted to find out how physiology educators in Delhi felt about the implementation of ethics teaching in physiology in the CBME. Methods: This was a pilot, cross-sectional, observational, feasibility study conducted using a questionnaire, involving faculty and senior residents (post-MD) in the departments of Physiology at nine medical colleges in Delhi, conducted over the period from February to October 2020. Results: The response rate was 76% (60/79), of which 40% (24/60) were senior residents and 60 (36/60) were faculty. Around 55% (n=33) felt bioethics and clinical ethics are not synonymous; 53% (n=32) believed ethics education can be accomplished in a large group setting; 75% (n=45) believed it should be the responsibility of the physiology faculty, rather than the clinical faculty, and 61.7% (n=37) wanted it to be included in the formative assessment. The respondents shared ethical concerns that should be included in the physiology curriculum and the best candidates to teach them to achieve integration. Despite the challenges, the majority 65% (n=39) felt ethics in the physiology CBME should be an inseparable part of teaching in all instructional modalities. Conclusion: Early clinical exposure was considered preferable to the Attitude, Ethics, and Communication (AETCOM) programme. Using the five W’s and one H method, we talk about how our findings can be used as a road map to help physiologists teach ethics to medical students in the new CBME.
ABSTRACT
Background:Usage of cosmetic products has been increased significantly in last few decades. Their usage has increased beyond the purpose of beautification. The definition of cosmetic product varies widely amidst different countries. Increased concern of physical appearance in population throughout the globe has been taken as an advantage by the cosmetic industries. Increased usage of different personal care products for prolonged period of time leads to exposure of the human body to wide variety of chemicals which maylead to adverse effects. Heavy metals have been found in certain cosmetic products which not only lead to dermatological but systemic adverse effects too. Further to this, pharmacologically active agents have been found in anti aging products. These cosmeceutical agents may possess chemical agents which are toxic to human body. Western countries have laid certain regulatory guidelines for manufacturing, labelling and marketing of cosmetic products. Cosmetovigilance ensures appropriate and safe use of cosmetic products. In India, Drugs and Cosmetic Act governs the regulations for the cosmetic products. Need of formal adverse event reporting system as well as strict regulatory guidelines for cosmetic products are required to curtail the adverse health outcomes due to cosmetic products.
ABSTRACT
To report convergence excess esotropia (CEET) following 0.01% atropine eye drops (Low dose atropine [LDA]). Children who developed CEET that resolved promptly after discontinuation of LDA are described. Three myopes aged 5.3 � 1.2 years and mean sphere -4.5D were included. All were operated for intermittent exotropia earlier. Mean esotropia was +28.3PD for near and 10.6PD for distance. LDA induced high AC/A ratio and fusion normalized in 3 weeks after discontinuation of LDA. LDA should be used with caution in patients with esophoria or previously operated for intermittent exotropia. Any evidence of the emergence of a CEET should warrant discontinuation of LDA.
ABSTRACT
A study was undertaken to determine the sex discrimination in child rearing in an urban low socio-economic chawl type of community. Totally 1101 children in the age group of 0-14 years (631 females and 470 males) in 346 families selected at random were studied. It was found that educational and nutritional status of both the sexes were comparable but partial coverage or non-coverage of immunisation was observed in more girls as compared to boys. Majority of parents (93.9%) expressed that they would get their daughter married after 18 years of age.