scholarly journals Evaluation of knowledge, attitude and practice about research ethics and research ethics committee among post graduate residents in a tertiary care hospital in Pune, Maharashtra, India

Author(s):  
Jyoti B. Gadhade ◽  
Rajesh S. Hiray ◽  
Mukthambika Balaraj

Background: A research ethics committee (REC) is a body responsible for ensuring that medical experimentation and human research are carried out in an ethical manner in accordance with national and international law. It is mandatory that all the research projects should be approved by EC before commencement. Recently Medical council of India has introduced mandatory online research methodology module consisting of assignments followed by mandatory exam.Methods: A cross-sectional study using a self-administered, validated questionnaire was administered among PG residents of a tertiary care hospital in Pune having a functional ethics committee was conducted for 3 months. Number of correct and incorrect responses were noted and calculated in percentage.Results: Total of 125 residents were enrolled and 119 subjects responded. The response rate was 95.2%. The respondents included 59.66% clinical and 40.33% nonclinical post graduate residents. 87.39% knew the role of IEC. 95.79% said informed consent should be mandatory document. 98.31% were aware about the institutional ethics committee (IEC) in the institution. 84.87% think EC and research ethics should be taught as a mandatory PG module.Conclusions: Authors conclude that among the clinical and non-clinical postgraduates participating in study, there is acceptance of IECs and training in research ethics, while there are knowledge gaps in research ethics guidelines and composition of IEC. The updated MCI curriculum imbibes research curriculum but should focus on details about ethics in biomedical research. It can be initiated by workshop/awareness programmes compulsory for UG and PG students.

Author(s):  
Satyendra B. Badhe ◽  
Pramila V. Yadav ◽  
Pradnya S. Deolekar ◽  
Suvarna B. Badhe ◽  
Mihika Aggarwal

Background: Anti-hypertensive drugs can effectively control hypertension, subject to good adherence. Uncontrolled hypertension can lead to numerous complications, some even potentially fatal, such as myocardial infarction, atherosclerosis, thromboembolism, shock and stroke.Methods: A cross-sectional prospective study was conducted with the help of a pre-validated questionnaire during the course of 6 months in the medicine outpatient department and the inpatient department (wards) at a tertiary care hospital, Navi Mumbai in 200 hypertensive patients to calculate the correlation of the sociodemographic factors with adherence by the chi-squared test.Results: The overall percentage of adherence to antihypertensive medication was 34.8%. It was the highest (72.1%) in the younger age group, i.e., below 50 years. It was observed that as the age increases, the adherence to treatment decreases. Adherence rates were significantly higher among females and those individuals who had never attended school. Among the employed, 70.3% were adherent to their treatment and among the unemployed, 64.4% were adherent. The percentage of adherence was lower in alcohol consumers (9.5%) as compared to nonusers (76% and 32%, respectively).Conclusions: The clinician advising anti-hypertensive therapy should provide thorough counselling and stress on the issues created due to poor medication adherence as hypertension can be associated with severe outcomes. Treatments should be given in accordance with each patient’s lifestyles in mind such that they may continue taking their medications till the completion of their therapy.


2021 ◽  
pp. 204-207
Author(s):  
Swati Singh ◽  
Arun Narayan Pradeep ◽  
Vadivambal Dinakaran ◽  
Arul Saravanan ◽  
M. Thirunavukarasu

It is a universal phenomenon that the stigma attached to mental illness and mentally ill is a major barrier in providing mental health services. Among doctors, the stigmatisation can further lead to decline in treating mental illness and compromises in patient care. Mental illnesses go unnoticed and unattended to most of the time. AIM-To study the attitude towards mental illness and psychiatry in non-psychiatric postgraduates in a tertiary care hospital. Materials and methods- This is a “Cross - sectional study” that was carried out among non-psychiatric post graduates in a tertiary care hospital using validated questionnaire among all non-psychiatric postgraduates Results- Out of 235 non-psychiatric postgraduate's only 200 postgraduates have lled questionnaire. Out of which 88 were male and 112 were females and 168 were from the clinical branch and 32 were from the non-clinical branch. Data analyse was by using SPSS. Total scores were high on MICA -4 (56.99±9.59) which represent negative attitude towards psychiatry. The majority of postgraduates have shown little interest in psychiatry in their MBBS programme and believe that functioning in a psychiatric setup is not respectful and have been reluctant to disclose their mental illness in front of friends and colleagues. On otherhand, they accepted that mental illness could be a treated and that people with psychiatric illness must have the right to live with dignity and not to be mistreated. Conclusion- The present study shows the negative perception of non-psychiatric medical post graduates. It shows the urgent need to revise the curriculum and correct the negative attitudes of non-psychiatric post graduates towards mental illness and to instil and impart the importance of mental health among students right from undergraduate days. This would help in providing people with mental illness a holistic care for their problems.


Author(s):  
Sudipto Chatterjee ◽  
R. Vijendra ◽  
K. Girish ◽  
Mahesh Kumar Manjeri Koroth

Background: Drugs that are dispensed against a valid prescription issued to a patient by a registered medical practitioner are known as “prescription-only drugs”. In India, they have been regulated under schedule H, H1, G, and X of the Drugs and Rules (1945). The drugs which are not included in the list of “prescription-only drugs” are considered to be over-the-counter drugs (OTC). There is no provision for an OTC drug schedule in the Drugs and Cosmetics Rules 1945, and these drugs have higher chances of misuse or abuse. This study was undertaken to assess the knowledge, attitudes and practice among medical interns about OTC drugs in a tertiary care hospital in India.Methods: This was a cross-sectional study, which was conducted at Kempegowda Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India, from March 2018 to September 2018. A pre-validated questionnaire consisting of 24 questions to assess the knowledge, attitude, and practice was administered to 80 medical interns chosen by simple randomization, out of which 14 questions were related to knowledge, 6 related to attitude and 4 related to the practice. The participants were provided 30 minutes to complete the questionnaire. The data recorded were analyzed using Microsoft Excel.Results: There were some gaps in the knowledge, attitude and practice among the medical interns about OTC medications.Conclusions: There is a need for special emphasis on the MBBS curriculum about the use of OTC drugs.


Author(s):  
Sugandhi Sharma ◽  
Trideep Jyoti Deori

Background: It is estimated that 10-25% of the healthcare waste generated is hazardous and presents physical, chemical and/or microbiological risk to the general population and health-care workers associated with handling, treatment, and disposal of waste. All health personnel are expected to have proper knowledge, practice and capacity to guide others for waste collection and management and proper handling techniques. This study was conducted with the aim to assess knowledge, attitude and practices among 1st year post graduate residents in a tertiary care hospital of Lucknow.Methods: It was a hospital based cross-sectional study carried out in March 2017 on 1st year Junior Residents of King George’s medical University, Lucknow. Data was collected using a structured, self-administrated questionnaire, designed to assess the knowledge, attitude and practices on various aspects of bio-medical waste (BMW) management.Results: Majority (72%) of the residents had an average knowledge about BMW management. About one-fourth of them (27.7%) knew about the maximum time beyond which the waste can’t be stored in the hospital while about half of the residents (56.2%) thought that their knowledge regarding biomedical waste is adequate. It was alarming to note that 11.6 percent of the residents were not vaccinated against Hepatitis B.Conclusions: The residents had average knowledge about BMW management, legislation and color coding. The attitude of residents regarding BMW was good but in practice it was average. There is an essential need for better education to improve the practices of BMW management by well-designed seminars, programs and workshops.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Sarwat Memon

Background: The palatal rugae are special constructions that are inalterable in their position and pattern during the lifestyles of an individual. This imparts them an exceptional role in the forensic dentistry and may play potential role in malocclusion identification. This study was aimed to see association of rugae pattern with sagittal skeletal malocclusion in orthodontic patients visiting tertiary care hospital. Methods: This cross-sectional examination was completed on pretreatment records (lateral Cephalometric radiographs and maxillary dental casts) of 384 subjects at the orthodontic department of Ziauddin Dental Hospital, Karachi. The study duration was from January to July 2019. The samples were sub-divided into three sagittal skeletal groups based on ANB angle proposed by Steiner’s on lateral Cephalometric radiographs (Class I with ANB angle between 0° to 4°; Class II: ANB angle greater than 5°; Class III: ANB angle less than 0°). The shapes of three most-anterior primary rugae were then evaluated bilaterally using Kapali et al., Classification. Chi Square test was applied to find association of rugae pattern among sagittal skeletal malocclusions groups. Results: Circular and curved rugae shapes were the most prevalent in all skeletal malocclusions. The primary palatal rugae pattern was seen to be significantly different among three skeletal malocclusion groups (p<0.05). The right and left sided palatal rugae pattern showed significant difference in all three skeletal malocclusion groups (p<0.05). Conclusion: The present study showed no specific palatal rugae pattern associated with sagittal skeletal malocclusion. Further studies on larger sample and use of modern 3D technologies to scan the maxillary casts are required for results that are more precise.


Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

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