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   Table of Contents - Current issue
Coverpage
July-September 2022
Volume 8 | Issue 3
Page Nos. 117-188

Online since Wednesday, September 28, 2022

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EDITORIAL  

What's new in academic international medicine? Monkeypox: The next pandemic? p. 117
Gabrielle Fonteneaux
DOI:10.4103/ijam.ijam_86_22  
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SHORT COMMUNICATION Top

Flipped journal club: A way forward in postgraduate medical education p. 120
Manish Taywade, Debkumar Pal, Ranjana Kalra, Kumbha Gopi, Shampa Maji
DOI:10.4103/ijam.ijam_33_22  
After its origin during the 18th century, the journal club has come a long way as an effective method of pedagogy in postgraduate medical education. As the traditional format of the journal club is becoming less attractive for residents, the newer concept of blended learning and flipped classrooms is now being incorporated slowly into the traditional format of the journal club. This newer format of journal club is called flipped journal club, where all materials regarding the article are shared among residents and faculty well before the day of presentation. On the presentation day, there is a small group discussion regarding the summary, critical appraisal, and its implication on the concerned subject. The following core competencies are addressed in this article: Practice-based learning and improvement, Systems-based practice, Medical knowledge, Professionalism.
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ORIGINAL ARTICLES Top

Evaluation of detection of severe acute respiratory syndrome coronavirus-2 by chip-based real-time polymerase chain reaction test (truenat™ beta CoV) in multi-sample pools p. 123
Venkata Giri Prasad Polu, Neela Mani kanta Kota, Deepthi Karumanchi, Sreekanth Reddy Basireddy, Sandhya Munagapati, Shiva Kumar Mugudalabetta, Venkata Prasad Ganta, Uday Sankar Allam
DOI:10.4103/ijam.ijam_14_22  
Introduction: Systematic testing for Severe Acute Respiratory Syndrome CoronaVirus-2 (SARS-CoV-2) using molecular diagnostic tools to identify individuals with coronavirus disease 2019 (COVID-19) infection, and tracing their primary and secondary contacts is important to curb its spread. With resource limitations on testing individual samples, testing of pooled samples provides alternative approach to increase testing capacity. Present aimed at assessing the detection of SARS-CoV-2 RNA in pooled samples using chip-based real-time polymerase chain reaction Test (Truenat™ Beta CoV). Materials and Methods: Pooled sample size of five was used from laboratory confirmed COVID-19 positive and negative samples. SARS-CoV-2 positive nasopharyngeal specimens of known samples from high, medium, low, and very low viral load were mixed with SARS-CoV-2 negative nasopharyngeal specimens of known samples in 1:4 ratio, followed by analysis using Truenat. Furthermore, each sample in that pool was tested individually. Pooled sample testing was also done on the samples of unknown status. Results: The results of the present study showed cycle threshold (Ct) values of pooled sample with SARS-CoV-2 positive RNA of high, medium, low, and very low viral load were 16.8, 24.22, 28.2, and 33.43, compared to Ct values of individual samples of 16.43, 22.0, 28.00, and 33.00, respectively. Conclusion: These results suggest that the Ct values of pooled samples were in agreement with Ct values of individual samples indicating the validity of pooled sample testing for screening SARS-CoV-2 using Truenat. The following core competencies are addressed in this article: Medical knowledge, Patient care and procedural skills systems-based practice, Practice-based learning and improvement.
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Comparison of undergraduate dental students' academic performance using structured and unstructured oral examinations p. 131
Nagesh Lakshminarayan, GV Usha
DOI:10.4103/ijam.ijam_147_21  
Introduction: Assessment plays a central role in formal education. Unstructured oral examinations are the status quo in dental education in India but have some drawbacks, including a lack of inter-rater reliability. It is not known whether structured oral examinations provide different scores nor how they will be accepted by students or examiners. Materials and Methods: A sample of 20 students were randomly selected from a group of third-year BDS students who had scored 65% and above in the 2nd year university examination in Bapuji Dental College and Hospital. They were exposed to a total of 4 h of lecture and problem-solving sessions on dental ethics. Four raters (teaching faculty), having similar academic experience and designation, were selected and they were trained to conduct structured oral examinations according to a format, especially designed for the same purpose. Half the students underwent structured examination followed by unstructured examination while half the students underwent unstructured examination followed by structured examination. Paired t-test was applied to find out the statistical difference between structured and unstructured oral examination formats. Results: The students obtained a mean score of 13.35 ± 3.8 out of a total score of 20 in the unstructured oral examination when compared to a mean score of 14 ± 3.76 in the structured oral examination. The difference was not statistically significant (P = 0.69). The acceptance trended favorable for structure examination but was not statistically significant. The structured examination had higher inter-rater reliability than the unstructured examination. Conclusion: The results showed good reliability and repeatability of the structured oral examination format with an inter-rater reliability of 0.82. Structured viva voce was not found to improve the performance of students when compared to unstructured viva voce. The following core competencies are addressed in this article: Practice-based learning and improvement, Patient care and procedural skills, Systems-based practice, Medical knowledge, Interpersonal and communication skills, and Professionalism.
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Association between iron-deficiency anemia and antenatal depression in a semi-urban population of south India: A cross-sectional study p. 137
Roopa Satyanarayan Basutkar, Pooja Sudarsan, Chris Elizabeth Vinod, Resia Varghese, Divya Perumal, Ponnusankar Sivasankaran
DOI:10.4103/ijam.ijam_133_21  
Introduction: Iron-deficiency anemia (IDA) during pregnancy affects the glial cells of the brain of mother, which results in altered neuronal myelination with dysregulation. Although several factors could lead to antenatal depression, IDA is an emerging etiology. The primary objective of this study is to determine the relationship between IDA and antenatal depression among pregnant women. Materials and Methods: This cross-sectional study was conducted at Government Head Quarters and Hospital, in Udhagamandalam. A total of 210 pregnant women in the second trimester were enrolled and categorized into iron-deficient anemia and noniron-deficient anemia groups based on their hematological results. The risk of depression was assessed using the validated Edinburgh Depression Scale (EDS). A Chi-square test for categorical variables and an independent t-test for continuous variables were used. A Pearson's correlation analysis was performed to check the association of EDS scores with participants' demographic characteristics and hematological parameters. Regression analysis was conducted to predict the outcome variable. Results: The distribution of depression was significantly varied between the groups. EDS score was significantly higher in the IDA group in comparison with the non-IDA group (12.78 ± 3.40 vs. 8.82 ± 3.12; P = 0.005; 95% confidence interval 2.94–4.87). The odds of developing antenatal depression are 12 times higher in the iron-deficient group, P < 0.001. Conclusions: Our findings suggest that IDA acts as an independent factor in influencing antenatal depression. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement.
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The level of knowledge about rheumatic diseases in Saudi Arabia: A community-based survey p. 145
Fahidah Alenzi, Haifa Al-Sheikh, Manal Alnasser, Maha Al Adwani, Raghad Aldhuwayhi, Eatedal Algenaim, Maha Abowadaan
DOI:10.4103/ijam.ijam_121_21  
Introduction: Joint inflammation, which causes pain and swelling, is common in rheumatic diseases. In Saudi Arabia, large multicenter studies on the prevalence of rheumatic diseases and the common beliefs about these diseases are lacking. Our study aimed to investigate the false beliefs about rheumatic diseases in Saudi Arabia. Materials and Methods: A cross-sectional questionnaire-based study was carried out in Riyadh, Saudi Arabia, from December 2019 to January 2020, to assess the understanding and misconceptions of rheumatic disorders in the study population. The statistical analysis was performed using the Fisher's exact test and the Chi-squared test, and binary logistic regression was employed for dichotomous variables. Results: Five hundred and eleven respondents were recruited in the study, with a mean age of 26.9 years; 76.9% of respondents were female. 89.4% of the respondents were Saudi nationals; 75.2%, 20.3%, and 4.5% of respondents had bachelor's, prebachelor's, and master's degrees, respectively. The most frequently reported rheumatic disease was rheumatoid arthritis (66%), followed by myositis (13.3%). Most of the respondents (77%) in this study were aware of rheumatic diseases. Conclusion: Most of the respondents were aware of rheumatic diseases. However, a more exhaustive multicentric survey with a wider population-based survey is needed to provide substantial data and help rheumatologists overcome patients' misconceptions and improve outcomes. The following core competencies are addressed in this article: Medical knowledge, Patient care, Systems-based practice, Practice-based learning and improvement.
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CONFERENCE ABSTRACTS AND REPORTS Top

The 2022 St. Luke's University health network annual research symposium: Event highlights and scientific abstracts p. 151
Allincia Michaud, Anna Ng-Pellegrino, Rachel Birk, Stanislaw P Stawicki
DOI:10.4103/ijam.ijam_87_22  
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