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Background: Patient satisfaction is crucial for research, administration, and planning. Since it reveals the ef-fectiveness of the provider, customer happiness is of utmost importance as a gauge of the quality of service.Inpatient satisfaction is an essential tool to identify the level of patient satisfaction and it is one of the im-portant goals of any healthcare system. The objective of the study is to validate the questionnaire developed and to assess the inpatient satisfaction level among patients admitted to OBG ward in a tertiary care hospital. Methods: A cross-sectional study was done among 160 women inpatients admitted in the OBG ward in a ter-tiary care hospital, Chengalpattu. Patient satisfaction was measured by a validated questionnaire with seven domains, the data were collected by face-to-face interview method. Results: Themean age of the respondent were 28 years. 60% of respondents were highly satisfied with the effectiveness of the treatment. Only 33.8% of respondents were highly satisfied with the diet food served and 56.3% were highly satisfied with the cleanliness of wards, and restrooms. Conclusions: The results obtained from the present study can serve as a baseline to compare the future sur-vey and helps to provide healthcare services that fulfil patient desires and expectations.
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Introduction: Injuries are a major global public health problem. There are very few community-based studies on childhood injury from India in this study, we identified the distribution and risk factors for fall-related child injuries in the Chengalpattu district, Tamil Nādu community. Methodology: A descriptive analysis was done among 710 children of age up to 14 years residing in the Kat-tankulathur region in Tamil Nādu. The appropriate number of samples were recruited using the cluster sam-pling method by dividing the subjects into separate clusters and from each cluster 40 samples were obtained. The information on fall-related injury was collected according to mechanism of ‘injury’ Results: The annual incidence of fall-related injuries was 9.1 %. About 72.3% of children had injuries at home and 36% of the persons had fractures in the upper limb. 42% of children had disability in their hands. The age, gender, education and type of family was significant to injury. Conclusion:Our study reported a higher incidence of Fall injuries in Tamil Nādu when compared other stud-ies done in India. Male children are the most common victims of injury and also identified homes, roads/streets as the most common places for the occurrences of fall injury in children.
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Background: Competency-based medical education (CBME) curriculum has been implemented in India since 2019 with a goal to create an “Indian Medical Graduate” (IMG) possessing requisite knowledge, skills, attitudes, values, and responsiveness. Objectives: To explore teachers’ perceptions across India at medical colleges on the newly implemented competency-based medical education curriculum. Methods: This was a qualitative cross?sectional study conducted among teachers working at medical colleges across India, between February and April 2022 (n = 192). The data collection was done using Google forms online survey platform on teachers’ perception regarding CBME, its specific components, and perceived bottlenecks. We analyzed this qualitative data using manual, theoretical thematic content analysis following the steps endorsed in Braun and Clarke’s six-phase framework. Results: The majority of the teachers (64.1%) have positively responded to the CBME curriculum’s implementation. However, it came with a caution that the curriculum should continuously evolve and adapt to regional demands. The foundation course, early clinical exposure, and the family adoption program were the specific components of CBME curriculum over which the teachers raised concerns. The need for additional teachers in each department (department-specific teacher or faculty per hundred students ratio to be worked out) and the need for enabling faculty preparedness through adequate training was highlighted. Concerns were also raised regarding implementing CBME with teachers without a medical background (especially in preclinical departments). Conclusion: It is the need of the hour for the curriculum to incorporate a systematic feedback mechanism built into the system, though which such critical appraisals can be meaning collated and acted upon, to ultimately evolve, thereby creating an “Indian Medical Graduate” for the needs of todays’ society.
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Tribal women may suffer from poor nutritional health, lack of awareness of micronutrients, reduced dietary diversity, underutilization of micronutrient supplements and locally available food resources, poor hygiene, and sanitation. This study aims to examine the impact of educational intervention on the micronutrient status of the tribal women (n = 714, 15–60 years) in 15 hamlets of Coimbatore district, Tamil Nadu, by census sampling method. Self-structured pretested questionnaires, participatory learning methods, and focus group discussions were adopted to record the background information (anthropometry, clinical signs of micronutrient deficiency, hemoglobin, and dietary assessments). Even though there was no increase in body mass index (BMI), there was a significant change in age, income, and BMI with hemoglobin levels. Impact analysis showed significant behavior change in the utilization of locally available micronutrient?rich foods, improved access to supplements, and dietary diversity. Sustained attempts to educate tribal women proved to be effective in attaining their nutritional security and in the families.
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A developing zoonotic orthopoxvirus with a clinical presentation resembling smallpox is the human monkey pox. A double-stranded DNA virus causes monkey pox (MPX), a viral zoonosis. -For the first time, numerous monkey pox cases and clusters have been recorded simultaneously in endemic and non-endemic nations over a wide range of geographical regions. On 23 July 2022, the World Health Organiza-tion (WHO) declared the monkey pox outbreak as a Public Health Emergency of International Concern (PHEIC). From May to July 2022, a multi-country outbreak of monkey pox was reported. The recurrence of the disease has caused global panic and a rise in public health concerns. we performed a thorough lit-erature search for MPVX infection PubMed, Google scholar and Elsevier search engines, articles pub-lished in the last 3 months and personal collection of the relevant publications were considered in this review. Despite the fact that this condition has been there for more than 50 years, the recent rise in cases and the growing body of knowledge about it have made it necessary for practicing doctors to conduct a focused review. Therefore, in this review we Summarized the previous concepts, exploring the present, and focusing on future prevention of Monkey pox.
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Background: Voice disorders cause undesirable effects on school teachers such as reducing their quality of life, decrease in work performance affecting the quality of education, job absenteeism, and reduced social activities as well. Methodology: Voice disorder among teachers was assessed through the “Voice handicap Index”, which was developed by Jacobson et al in 1997 to self-assess the severity of voice disorder in dysphonia pa-tients Results: The overall prevalence of voice disorder among government school teachers was found to be 46.5% with a 95% confidence interval from 41.5% to 51.5%. Using Backward Wald, the binary logistic regression analysis showed that female teachers (AOR 1.6, p<0.01*), teaching experience less than 10 years (AOR 2.4, p<0.01*), and teaching hours more than 21 hours per week (AOR 6.7, p<0.01*) had a sig-nificant association with voice disorders. Conclusion: The prevalence of voice disorder was found to be high since teachers are professional voice users. The study also recommends that teachers must receive the required health education on the ergo-nomic risk factors that they will come into contact with in their daily lives as part of their jobs.
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Objective: Sitagliptin phosphate and metformin hydrochloride tablet is an FDA approved combination product for the treatment of diabetes mellitus type 2. There are no reported evidence for estimation of undesired (S)-sitagliptin in a combination product. The objective of this study was to develop a high sensitive liquid chromatography method for the determination of (S)-enantiomer of sitagliptin phosphate in a fixed dose combination formula of metformin and sitagliptin. Methods: The proposed novel high-performance liquid chromatography (HPLC) method uses programmed gradient elution of a mixture of ethanol-diethylamine(DEA) 100:0.1 (v/v) as mobile phase-A and a mixture of methanol-water 60:40 (v/v) as mobile phase-B. The chromatographic conditions were designed to nullify the metformin interference and in which sitagliptin enantiomers elute first and followed by metformin. A satisfactory resolution (≥2.5) between (S)-sitagliptin and active form (R)-sitagliptin was achieved with gradient elution on Chiralpak IA column (5μm, 4 × 250 mm) at a flow rate of 0.5 ml/min and the detector wavelength set at 265 nm. The injection volume set as 10 µl. The developed method has been validated as per the International Conference on Harmonisation (ICH) guidelines. Results: The proposed HPLC method for determination of (S)-sitagliptin, showed good linearity in the concentration range of 0.5 µg/ml to 13.6 µg/ml and capable to quantify accurately up to the lowest level (LOQ) of 0.017%. The validated method was successfully applied to quantify the (S)-sitagliptin for different marketed formulations of sitagliptin with metformin and sitagliptin alone, and the corresponding recovery values were found to be in the range of 95.1% to 98.4%. Conclusion: The proposed validated HPLC method was found to be suitable for the quantitative determination of (S)-sitagliptin in the formulations of sitagliptin with metformin and sitagliptin alone.
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PURPOSE: To comprehensively study the possibility of autoimmune reactivity by hepatitis viruses B and C (HBV &HCV) in Indian chronic liver disease (CLD) patients. METHODS: One hundred and sixty histopathologically proven CLD cases and 100 matched controls were analysed for viral serology for HBV and HCV and autoimmune serology for antinuclear antibody (ANA), anti smooth muscle antibody (ASMA) and Liver kidney microsomal antibody (LKM) using standard immunofluorescence technique. RESULTS: 43.7% of cases were chronic hepatitis B while 16.2% were positive for HCV. CLD-B cases showed ANA positivity in 27.1% and ASMA positivity in 25.7%. CLD-C cases revealed 26.9%, 46.1% and 11.1% positivity for ANA, ASMA and LKM antibodies respectively. These rates and titres of autoantibodies were statistically significant (p=< 0.02) when compared with that of controls. Conclusions: Based on the pattern of autoantibody positivity, it could be concluded that chronic HBV infection may induce autoimmune hepatitis (AIH) type I and chronic HCV infection might trigger AIH - Type II in Indian CLD cases.