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The field of pure nature cure, health and holistic education are very important for human well being. To achieve the real health and happiness, education is the key. The genesis of this online course on Basics of Nature Cure lies in overcoming of some ailments which the author of this article suffered such as diabetes, ankylosing spondylitis, chronic rhinitis etc. These all done just by modifying the lifestyle and the philosophy. This article describes the course and its delivery process using Social Media and other technology platforms.

Introduction: Telemedicine is an emerging technology in health sector in India. The success of any new technology depends on many factors including the knowledge and understanding of the concept, skills acquired, attitude towards technology and working environment by the concerned professionals. Aim: The main objective of this study was to assess the awareness, knowledge, attitude and skills of telemedicine among the health professionals working in the teaching hospitals of Puducherry Region of India. Materials and Methods: A cross-sectional survey was carried out among various healthcare professionals using a proper sampling frame obtained from a list of teaching hospitals located in Puducherry Union Territory, India. A total of 120 teaching faculties and practitioners from the preclinical, paraclinical and clinical departments were taken up for the study. A pre-validated self-administered questionnaire was used for the survey to assess the awareness, knowledge, attitude and skills of telemedicine. The questionnaires were mailed to the respondents and the completed questionnaires were analysed as per the study objectives using descriptive statistics for the quantitative data and content analysis for the qualitative data. Results: The knowledge level of the respondents was found to be good with 41% of the respondents, 35% possess fair knowledge and 24% don't have adequate knowledge of telemedicine. With regard to the attitude towards telemedicine 39% of the respondents possess high attitude, 31% possess moderate attitude and 30% possess low level of attitude. Investigations on the skills of the respondents on telemedicine showed that 19% respondents are highly skilled or experts, 25% are moderately skilled which includes learners or beginners, and 56% are unskilled in handling telemedicine and its related equipments. Conclusion: The findings of the study suggest that although the respondents experience and knowledge are limited in telemedicine technology a fair number of them have positive attitude towards telemedicine. It is the need of the hour to educate and train the teaching faculty, practicing physicians, residents, medical students and other health professionals about telemedicine and issues related to its use.

Medicine and engineering are two of the most sought after professions in India. However, despite the popularity of these two professions and structural issues in the tertiary education system, not much is known about the correlates of working as a doctor or an engineer. In this paper, we use unit-level data from a nationally representative sample to provide estimates of determinants of being employed as a doctor or an engineer. We use instrumental variable probit model to address endogeneity of own education of those working as doctors and engineers. Parental education is significantly associated with an individual being employed as a doctor or an engineer; the marginal effect for both being 25%. Females are significantly less likely to work as engineers vis-à-vis males, while it is not so in the case of doctors. There are significant caste- and religion-based variations as well as rural-urban differences. Our findings provide novel evidence on influence of parental education on career outcomes in the developing world and offer a contrast in the discourse of glaring gender gap in STEM (science, technology, engineering, medicine) fields.

Cardiovascular diseases are an emerging cause of morbidity and mortality in India. India produces less than 150 cardiologists annually, leading to a gap between the need and availability of trained professionals. A three-year cardiology-training programme is available for post-graduate doctors in the conventional medical education system. The majority of the people living in rural areas, small towns, and district towns in the country do not have any access to cardiac care, because trained cardiologists are mostly concentrated in the metropolitan are or capital cities. To address this issue Indira Gandhi National Open University has designed and developed a two-year, full-time training programme in the area of non-invasive cardiology for medical graduates, named the Post Graduate Diploma in Clinical Cardiology, which is being offered through the open and distance learning mode. The objective of the programme is to train a large number of medical graduates effectively to enable early recognition, management and prevention of common cardiovascular diseases. Learners have been given the opportunity to train in different departments and are posted in various areas in this programme, such as management of common cardiovascular diseases (6 months), ECG and Stress Testing (3 months), Echocardiography (3 months), ICU/CCU management (6 months), Paediatrics Cardiology (3 months), preventive cardiology (3 months). Self-learning materials, 33 video programmes (1260 minutes), and a monthly, live, interactive teleconference (90 minutes), have been incorporated into this programme. Beside these, 50 theory counselling sessions, 25 guest lectures, seminars, journal clubs and case discussions have been provided in every training center. Hands-on skills training is provided to every learner as prescribed in this programme. The 72 credits in the programme are divided into seven theory and six practical courses. Students need to pass in each course independently both in the internal examination and the term end examination. The minimum teacher-student ratio has been maintained strictly in both training and term end practical examinations. The topmost cardiac institutes/hospitals across the country have been identified as training centers, as per the norms of the university. This programme began with 116 students in 16 training centers in 2006. In 2013, 443 students were enrolled in 67 training centres. More than 320 cardiologists are involved as academic counselors in this training programme. A total of 1006 candidates have successfully completed their training and many of them are providing services in small or district towns of the country.

This paper reports the findings of a study conducted to analyse the effect of mobile device intervention for student support services and to gauge its use for enhancing teaching--learning process as a future study in the context of offer of Distance Education programmes. The study was conducted with the learners of the coveted Post Graduate Diploma in Clinical Cardiology programme of Indira Gandhi National Open University. In order to illustrate the issues involved primarily in student support services and the mobile learning as a future course of action, it is proposed to apply the Koole's FRAME model. Questionnaire and interview methods are used to obtain a feedback. The findings are discussed and future direction of study is also indicated. (Contains 2 figures and 4 tables.)

Ayurveda, the native healthcare system of India, is a rich resource of well-documented ancient medical knowledge. Although the roots of this knowledge date back to the Vedic and post-Vedic eras, it is generally believed that a dedicated branch for healthcare was gradually established approximately between 400 BCE and 200 CE. Probably because the language of documentation of these early textbooks is in Sanskrit, a language that is not in day-to-day use among the general population even in India, many significant contributions of Ayurveda have remained unrecognized in the literature related to the history of medicine. In this communication, the discovery of blood circulation has been taken up as a case, and a few important references from the representative Ayurveda compendia that hint at a preliminary understanding of the cardiovascular system as a "closed circuit" and the heart acting as a pump have been reviewed. The central argument of this review is that these contributions from Ayurveda too must be recorded and credited when reviewing the milestones in the history of medicine, as Ayurveda can still possibly guide various streams of the current sciences, if revisited with this spirit. (Contains 2 tables.)

Assesses the current status of science and technology in India, focusing on developments in agriculture, energy, medicine, space, basic sciences, and engineering. Indicates that although India has benefited in many fields from international collaboration during the last 30 years, the country's leaders have also placed particularly strong emphasis on self-reliance. (JN)

This article reports that India's medical profession is in a crisis. For every 10,000 people in India there are only six doctors, compared with nearly 55 in the United States and nearly 21 in Canada. The problem is likely to get worse before it gets better. Professors are leaving medical schools for better-paying jobs in private hospitals and in the pharmaceutical industry, forcing the schools to cut the size of their programs. Students who would have studied medicine a generation ago are pursuing more-lucrative careers in the technical sector. The doctor shortage illustrates how government regulation and bureaucracy sometimes make it more difficult for India to meet the challenges that come with rapid economic growth. Regulatory hurdles to the establishment of private medical schools have limited the opportunities to train for careers in medicine, prompting would-be doctors to go abroad, despite a boom in private health care. Some students opt out of the field entirely.

Purpose: Snakebites represent a pressing global public health concern, with India shouldering a disproportionate burden and often dubbed the "snakebite capital." Traditional and spiritual healing methods prevail in India, yet their efficacy and potential adverse health consequences warrant investigation. This study seeks to elucidate the perspectives of healthcare providers and caretakers regarding snakebite treatment practices, with a specific emphasis on traditional healing modalities. Methods: An exploratory study was conducted among ten healthcare providers–five traditional and five modern treatment providers, two snake trappers/catchers and 120 snakebite victims or their caretakers across three districts of Odisha, India. Data were collected through in-depth interviews and analysed using content analysis. Results: The analysis revealed five main categories: various snakebite treatment practices, care-seeking pathways of victims, perspectives of patients and caretakers on treatment, traditional healers' views on modern treatment, and allopathic doctors' views on traditional treatment. Treatment practices observed included allopathic treatment, cold treatment, spiritual healing practices at temples, brass plate treatment, mantra enchanting, herbal treatment, and self-medication. Reasons for treatment delay included strong community beliefs in traditional healing, lack of control over irrational treatment by traditional healers, suboptimal care at primary and secondary healthcare facilities, and poor community literacy on snakebites. Conclusions: The study emphasizes the need for improved snakebite preparedness strategies, community literacy, active involvement in prevention programs, and strong political commitment to control irrational treatment practices. [ABSTRACT FROM AUTHOR]

Diversity, flexibility, easy accessibility, broad continuing acceptance in developing countries and increasing popularity in developed countries, relative low cost, low levels of technological input, relative low side effects, and growing economic importance are some of the positive features of traditional medicine. In rural India, traditional medicine continues to be the only available form of care. Many communities continue to treat patients using their old methods, unaffected by contemporary medical advancements. Due to their accessibility, affordability, and ease of use, tribal tribes prefer to utilize and consult their own traditional healers. These are likewise thought to be highly effective and without any adverse effects. This paper aims to identify various traditional medicines used for treating illness and infirmities, by taking accounts from the residents of Chungtlang village, Mamit District, Mizoram. The objective here lies in discovering traditional knowledge of medicinal plants and their uses for various infirmities. [ABSTRACT FROM AUTHOR]

This introduction to a special section brings together three papers first presented at a panel, 'Medical Professions in South Asia: Historical and Contemporary Analyses', at the 26th European Conference on South Asian Studies, held in Vienna, Austria and online, in July 2021. All three papers deal with aspects of the professionalisation of biomedical doctors in India since its independence in 1947. The authors bring together historical and sociological approaches to illuminate the growth of specialisms, patterns of practitioner–patient interactions and efforts to maintain occupational closure and maintain status in the face of growing challenges. The introduction concludes with a discussion of the relevance of these papers for the sociology of health and illness in India and beyond. [ABSTRACT FROM AUTHOR]

This essay analyses and historicises a contemporary dominant narrative among India's biomedical doctors, that the early post‐independence period (1940s–1970s) was characterised by immense public trust and confidence in the biomedical profession, with the patient‐doctor relationship experiencing a 'golden era'. By exploring people's experiences with and perceptions of doctors during these decades, I show that contrary to contemporary understanding, public dissatisfaction with doctors was substantial even in the early post‐independence period. I argue that the dominance of privileged‐caste and ‐class Indians in the medical profession nurtured a caste privilege‐based elitist outlook within the mainstream profession and its leadership and created an insurmountable socioeconomic distance between doctors and the large majority of the public. What doctors deemed as people's 'trust' in them and their profession was often simply a manifestation of people's general deference towards the elites of the society. This incorrect interpretation of patient‐doctor dynamics in the past has been a constant feature of mainstream narratives around the doctor‐society relationship in post‐independence India and has remained largely under‐explored and under‐historicised in the medical, scholarly and public discourses. [ABSTRACT FROM AUTHOR]

Background and Aim: The study's purpose is to improve the quality of care for both local residents and travelers in the Kurnool district by identifying and addressing gaps and barriers. The main objective of the research was to assess the knowledge, attitudes, and practical implementation of travel medicine among primary health-care physicians working in the Kurnool district. Materials and Methods: The research utilized a descriptive cross-sectional study design. A total of 397 primary care doctors in the Kurnool area participated. Data were collected through a self-administered questionnaire, which covered sociodemographic factors, travel medicine knowledge, attitudes, and practices. Results: The study revealed that a significant portion (around 79.5%) of the participants reported providing travel health advice at some point. The primary source of information on travel medicine for most participants (66%) was the Ministry of Health's travel guides. However, the study identified a knowledge gap, as 11.4% of individuals were unaware of the origin of typhoid infection. The most common health issues reported during posttrip consultations were diarrhea and respiratory infections. Conclusion: The study's findings suggested that the general practitioners in the Kurnool district had insufficient knowledge, attitudes, and practices concerning travel medicine. This underscores the need for additional education and training in travel medicine to improve traveler health care and reduce the risk of preventable diseases. [ABSTRACT FROM AUTHOR]

Introduction: The emergence of artificial intelligence (AI) chat programs has opened two distinct paths, one enhancing interaction and another potentially replacing personal understanding. Ethical and legal concerns arise due to the rapid development of these programs. This paper investigates academic discussions on AI in medicine, analyzing the context, frequency, and reasons behind these conversations. Methods: The study collected data from the Web of Science database on articles containing the keyword "ChatGPT" published from January to September 2023, resulting in 786 medically related journal articles. The inclusion criteria were peer-reviewed articles in English related to medicine. Results: The United States led in publications (38.1%), followed by India (15.5%) and China (7.0%). Keywords such as "patient" (16.7%), "research" (12%), and "performance" (10.6%) were prevalent. The Cureus Journal of Medical Science (11.8%) had the most publications, followed by the Annals of Biomedical Engineering (8.3%). August 2023 had the highest number of publications (29.3%), with significant growth between February to March and April to May. Medical General Internal (21.0%) was the most common category, followed by Surgery (15.4%) and Radiology (7.9%). Discussion: The prominence of India in ChatGPT research, despite lower research funding, indicates the platform's popularity and highlights the importance of monitoring its use for potential medical misinformation. China's interest in ChatGPT research suggests a focus on Natural Language Processing (NLP) AI applications, despite public bans on the platform. Cureus' success in publishing ChatGPT articles can be attributed to its open-access, rapid publication model. The study identifies research trends in plastic surgery, radiology, and obstetric gynecology, emphasizing the need for ethical considerations and reliability assessments in the application of ChatGPT in medical practice. Conclusion: ChatGPT's presence in medical literature is growing rapidly across various specialties, but concerns related to safety, privacy, and accuracy persist. More research is needed to assess its suitability for patient care and implications for non-medical use. Skepticism and thorough review of research are essential, as current studies may face retraction as more information emerges. [ABSTRACT FROM AUTHOR]

How can ethnographic methods track implicit & explicit forms of structural casteism in Indian public health policy and praxis? How can a critical attention to ordinary stories and subjectivities of casted lives reveal the underlying Brahmanical moralities, assumptions and imaginations of public health but equally also unravel anti-caste counter-framings/counter-theorizations of symptoms, afflictions, injuries and chronic wounds wrought by caste? How, in other words, can the horizons of anti-colonial theory-making be expanded to capaciously conceptualize casteism as a core determinant of community health outcomes and life-chances in India? By mobilizing 'counter-storytelling' as a concept and method for critical medical anthropology from the Global South, and case studies from longitudinal ethnography in northern India, this paper provides a dual critique of: 1. Public health praxis in relation to questions of caste, addiction, respiratory debilitation, air pollution and TB. And, 2. Epistemologies of health policy making pertaining to wellness for 'the poor' and the gendered and casted labour of community care workers like ASHAs and non-institutionalized health actors. [ABSTRACT FROM AUTHOR]

Dental caries and periodontal disease are two of the most common oral diseases caused by bacterial infections. Traditional medicine in India has a long history of using plant extracts for dental care. Spilanthes acmella (S. acmella), also known as the "Toothache Plant," is a medicinal plant that has been traditionally used for its medicinal properties but has not been extensively studied for its applicability and use in dentistry. This study aims to investigate the antimicrobial action of S. acmella ethanol extract on Streptococcus mutans (S. mutans), and Lactobacillus fermentum (L. fermentum), which causes dental caries, and Porphyromonas gingivalis (P. gingivalis), Capnocytophaga gingivalis (C. gingivalis), which causes periodontal infection. The ethanol extract of S. acmella in various dilutions of 10mg/ml, 20mg/ml, 40mg/ml, 80mg/ml, and 100mg/ml was tested for its antibacterial activity against the bacteria as mentioned above using the agar well diffusion method. Erythromycin 0.125mg/ml was used as a positive control, whereas distilled water was used as a negative control. The Minimum inhibitory concentration (MIC) and Minimum bactericidal concentration (MBC) were determined by the broth dilution method. The results of this study have shown that the ethanol extract of S. acmella demonstrated concentration-dependent inhibition of bacterial growth (13-16mm diameter), with the highest concentration of 100mg/ml showing the strongest effect. The findings of this study support the use of the S. acmella plant extract in the treatment of dental caries and periodontal infection and suggest that it may be a viable alternative to traditional antimicrobial agents. [ABSTRACT FROM AUTHOR]

Background: Cognitive dysfunction, including impairments in attention, memory, executive function, and processing speed. This study was developed to determine the effectiveness of transcutaneous auricular vagal nerve stimulation on cognitive impairment among subjects with anterior cerebral artery syndrome. Purpose: The purpose of the study is to compare and evaluate the effectiveness of two non-pharmacological methods of treatment for cognitive impairment patients with ACA syndrome. Material and Methods: The project was conducted as a pilot study in a private hospital in Chennai. The experimental group (group A) received transcutaneous auricular vagal nerve stimulation for 20 minutes and conventional strengthening exercises for the affected limb for 10 minutes. Group B got conventional cognitive training (20 minutes) and strengthening exercises (10 minutes). Following the four-week treatment, a post-test analysis was performed using the Montreal cognitive assessment scale. Results: The post-test analysis obtained a mean value of about 27.25 and SD 1.5 for group A, whereas group B revealed 22.75 ± 1.25, mean ± SD, and a significant P value of 0.004. Conclusion: Non-invasive transcutaneous auricular vagal nerve stimulation has been proven to be an effective approach for preventing vascular dementia. [ABSTRACT FROM AUTHOR]

Background: Complementary/alternative medicine" (CAM) is defined as a diverse range of medical treatments, largely non-allopathic, mostly traditional, and not integrated into the authoritarian healthcare system. Interestingly for some schools, allopathy is alternative/complementary therapy. Osteoporosis is an ever-known disease treated before the era of allopathic medicine. Even though the customary medical system of India is among the most well-known in the world, every continent has its own alternative therapies for various chronic diseases. Purpose: This review of the scientific information is to help the readers understand how crucial the conceptual underpinnings of alternative medical therapy systems are to the advancement of conventional allopathic practices. Method: Many older and recent articles about alternative medical therapy in the management of osteoporosis published in scientific journals are reviewed. Relevant information from cross-references on methods of evaluating the efficacy of different modalities and their scientific pathways is included. An effort has been made to summarise the treatment of osteoporosis by these systems. Opinions, impressions, and inferences are added while describing various aspects of these modalities. Result: The National Library of Medicine has played an active role in publishing studies of the management of osteoporosis by alternative therapies. Many issues of management of osteoporosis still lack reliable treatment. However, good information is now available about choosing alternate medical therapy that has been studied scientifically and has shown promising results. Conclusion: Medicinal plants and certain natural treatments can treat osteoporosis and its problems. The use of alternate medical therapy has been proven recently by clinical practice and conventional wisdom. This sharing may help the medical practitioner to understand and judiciously allow complementary therapy while treating osteoporosis. [ABSTRACT FROM AUTHOR]

During the early phases of Covid-19, social media platforms became a significant source of misinformation, and India emerged as a global hotspot. Studies show that 'miracle cure' for preventing and treating Covid-19 infection has been a prominent topic of misinformation. This study explores the extent to which beliefs in cure for Covid-19 in three prominent medical traditions popular in India are associated with the exposure to and trust in various sources from which the public access information. We conducted an online structured questionnaire survey of 500 respondents in August 2020 in four major cities of India. Despite the scientific consensus at that time that there was no cure for Covid-19, close to three-quarters of our respondents believe that there was a cure in at least one of the three popular medical traditions in India: Allopathy, Homeopathy, and Ayurveda. We find that exposure to and trust in WhatsApp are associated with false beliefs regarding the existence of a cure for Covid-19 (p = 0.001 and p = 0.014, respectively). While trust in science is associated with correct beliefs (p = 0.025), there is evidence that trust in government information may foster incorrect beliefs (p = 0.031). The high trust in scientific research and its potential ability to instill correct beliefs could be exploited to combat Covid-19 misinformation in India. Potential interventions such as awareness campaigns to increase digital media literacy, regulating social media platforms, and voluntary content regulation by social media platforms – might help policymakers tackle Covid-19 related misinformation effectively. [ABSTRACT FROM AUTHOR]

E-Pharmacy is one of the essential services that can bring out transparency and ease of buying medicines to the customers. Though the application of internet in the areas of healthcare is intensifying and the online pharmacies serve a good cause, it has not been used as extensively in India. In this study we have focused in detail about the reasons why online pharmacy is not used - from a sample size of 100 respondents and have found that it was because of the high risk of misuse of drugs especially where there are no governing online pharmacy laws, lack of awareness and poor logistics, we have also analysed the other challenges that are faced by the society while using the existing e-pharm apps. Based on our constructs from the inferential and descriptive analysis, which was validated with a sample size of 100, we have put forth a set of suggestions that can make significant improvements in the e-pharmacy sectors and boost its usage. [ABSTRACT FROM AUTHOR]

Background: Initial reports from Wuhan (China) suggested poor outcomes for severe COVID-19 patients treated with Extracorporeal Membrane Oxygenation (ECMO). Extracorporeal Life Support Organization (ELSO) interim 2019 guidelines also recommended using ECMO only when all conventional therapies are exhausted. However, later studies showed that delayed ECMO initiation may lead to longer ECMO runs, offsetting any benefit from resource conservation by delaying the initiation. Hence, this study was intended to analyze the sociodemographic characteristics, type of ECMO, and complications of its outcome in the Indian scenario. Materials and methods: Demographic and patient clinical outcome data of all the patients of severe ARDS due to COVID-19 being treated with ECMO from 1st June 2020 to 31st May 2021 at Medica Super-specialty Hospital (Kolkata, India), were retrospectively compiled and analyzed. Results: Total number of patients treated was 79 with 10% female representation. The mean age was 43 ± 3.2 years and the mean body mass index 37 ± 4.3. Fifty percent of the patient survived. The mean duration of the ECMO run was 17 ± 5.2 days. Sepsis (65%) was the commonest complication observed followed by acute kidney injury (39%). Conclusion: This study provides significant insight into the outcomes of patients of COVID-19 treated by ECMO in the Indian scenario. Mortality rates of COVID-19 patients on ECMO were comparable to the non-COVID-19 patients, although the ECMO run time was relatively longer. Our study concluded that ECMO should be considered as a treatment option in appropriate COVID-19 cases. However, if the capacity diminishes in a pandemic situation, ECMO consideration should be based on more stringent criteria. [ABSTRACT FROM AUTHOR]

Background: Accessing care for sexual health has always been a challenge in our Indian context. The primary reason is a lack of awareness of modes of transmission of sexually transmitted diseases (STD), appropriate testing, and treatment options. The second is taboo associated with the morality of the individual. The third is the accessibility and availability of Quality STD care by allopathic specialists in comparison to the demand. This has paved way for lots of myths and misconceptions among the general public regarding STDs and HIV disease. Compounding it is the mushrooming of nonqualified practitioners and healers who claim to cure all STDs and HIV has led to poor treatment outcomes. Several methods of partnership with qualified allopathic practitioners have been tried for the provision of quality STD care by various donor-funded, HIV and STD prevention programs in the country. The key reasons for the nonsustainability of these clinics were the lack of technical capability to handle the sexual health and STD clinical cases and the huge cost involved in the advertisement and maintenance of the clinics. Methodology: Seven clinicians from different geographical locations in Tamil Nadu, who were exclusively qualified in Venereology, conceived the idea of provision of comprehensive clinical care cum counseling and testing services through a networking model from December 01, 2020. The model comprised the following: (1) Dedicated YouTube channel (Nakshatra Health) to provide scientific information on STD and HIV, modes of transmission, clinical symptoms, lab testing, interpretation of results, clinical treatment options, and counseling on prevention, (2) Dedicated telephone helpline was established with WhatsApp to answer the queries of clients by the network venereologists, (3) Dedicated website (www.nakshatra.health) was developed to provide information on STD and HIV and options to clarify doubts and fix appointments online, (4) Clinical consultations were done in a hybrid mode with an option for direct clinic and online consultation. Prescriptions were provided using dedicated software instantly, (5) Networking was done with NABL-accredited labs and collection centers for performing STD and HIV tests with e-test request forms, (6) Networking was done with pharma companies to provide pre- and postexposure prophylaxis (PEP) services to clients through e-prescriptions. Cross referrals were made across the network members to facilitate easy access to clinical services by clients from different parts of Tamil Nadu. The entire concept was branded as "Nakshatra health" with a tagline - "Your sparkling solution for safe sexual health care." Quality STD care and ethical practice were the underlying motos of this concept. Results: During the 20 months (December 2020 to July 2022), 6442 phone calls and 9328 WhatsApp messages were received. 82.3% of the calls and messages were queries from clients related to their sexual exposures, and 16.4% were general information seekers. During this period, the Nakshatra Health YouTube channel had 1590 subscribers and nearly 2.4 lakh views of all its 24 videos. Among the viewers, 92.4% were male. 52.29% of viewers were between the ages of 25 and 34 years, 28.25% were between the ages of 18 and 24 years, and 17.25% viewers were between the ages of 35 and 44 years. 86% of the viewers were from India and 13% were Tamil-speaking viewers from Middle East, Southeast Asian countries and 1% were from European, African, and American countries. The most commonly watched videos were related to HIV symptoms and lab tests for STD and HIV. 16% of the viewers repeatedly watched the various videos in the series. The network laboratories provided testing services for 1082 clients with 2423 various STD/HIV tests. Totally 3328 clients availed of online consultation and 924 clients accessed clinic-based services across the network members. Among these cases, 18 cases of Syphilis (primary and secondary) and 12 cases of acute gonococcal urethritis, and 10 cases of genital warts were diagnosed and treated. 12 cases of phimosis and 4 cases of anal warts were surgically treated in collaboration with a surgeon. Through this initiative, PEP and PreP services were provided to 228 and 8 individuals. Conclusion: Designing a comprehensive sexual health service package is crucial to ensure the availability and ease of access to services to the general public. Provision of correct scientific information, networking and cross-referral of cases with like-minded dermatovenereologists/clinicians interested in venereology sexually transmitted infections, easily accessible clinical, laboratory, and treatment services including PreP and PEP medications, and ethical practice are the key factors for scaling this concept. [ABSTRACT FROM AUTHOR]

Extracorporeal cardiopulmonary resuscitation (ECPR) is the implantation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in a patient who experienced a sudden and unexpected pulseless condition attributable to cessation of cardiac mechanical activity. The aim of ECPR is to provide adequate perfusion to the end organs when the potentially "reversible" conditions were managed. ECPRs are mostly done in tertiary care center in India. There is little scope for out of hospital arrest as poor quality of CPR and response time exists with lack of awareness about ECPR, which hinders its wider usage even in IHCA. Emergency department doctors need to be involved to counsel, recognize candidates activate, and initiate ECPR. [ABSTRACT FROM AUTHOR]

Background: Tuberculosis (TB), one of the most ancient diseases known to mankind, is one of the ten major causes of mortality worldwide. Combinations of antibiotics, called anti-TB therapy (ATT), are given for a period of six months or more as treatment. Aims and Objectives: The aim of this study was to assess the incidence of adverse drug reactions (ADRs), clinical profile, severity and causality among the admitted patients taking ATT in a tertiary care hospital. Materials and Methods: This was a hospital-based, prospective, observational and non-interventional cohort study undertaken in the General Medicine wards of the hospital. This study was conducted from June 2017 to December 2018. The Patients’ data was recorded using a structured ADR reporting form. The baseline parameters, medical history and details of underlying diseases, clinical data, characteristics of ADRs and details of medication responsible for ADRs as well as medication for treatment of ADRs were recorded. The data was analyzed using descriptive statistics with the Statistical Packages for the Social Sciences (SPSS) version 26.0 software. Results: Out of the 164 patients admitted due to ADRs within the study period, 45 (27.4%) developed ADRs due to anti-TB treatment. Most ATT-related ADRs involved the liver (n=39). The severity of ADR was found to be mild in two patients (4.4%), moderate in 28 patients (62.5%) and severe in 15 patients (33.3%). 16 patients (35.6%) completely recovered, 23 patients (51.1%) were still recovering (at the time of the analysis of the data), one patient (2.2%) did not recover and five patients (11.1%) had a fatal outcome. The presence of systemic comorbidities and polypharmacy was found to be a significant risk factor associated with ATT associated ADRs. Conclusion: ATT is not without its side effects. About 27.4% of the patients on ATT in our study developed ADRs, a few resulting in fatality. Educating the patients about possible ADRs associated with ATT at the time of prescription can improve patient compliance and strengthen the doctor-patient relationship. Early diagnosis and treatment of ADRs associated with ATT is paramount. This requires a better surveillance system, which India is in a dire need for. [ABSTRACT FROM AUTHOR]

BACKGROUND: The concept of listing essential medicines can lead to improved supply and access, more rational prescribing, and lower costs of drugs. However, these benefits hinge on the prescription of drugs from an Essential Medicines List (EML). Several studies have highlighted the problem of underutilization of EMLs by prescribers. Therefore, as part of prescription research by the Indian Council of Medical Research-Rational Use of Medicines Centres Network, we evaluated the extent of prescription of drugs not listed in the National List of Essential Medicines (NLEM). MATERIALS AND METHODS: Prescriptions of outpatients from participating centers were included after obtaining verbal/written informed consent as approved by the Ethics Committee, and evaluated for prescription of drugs from the NLEM 2015. RESULTS: Analysis of 4838 prescriptions from 13 tertiary health-care institutes revealed that 2677 (55.33%) prescriptions had at least one non-NLEM drug prescribed. In all, 5215 (31.12%) of the total 16,758 drugs prescribed were not in NLEM. Of these, 2722 (16.24%) were single drugs and 2493 (14.88%) were fixed-dose combinations (FDCs). These comprised 700 different drug products – 346 single drugs and 354 FDCs. The average number of non-NLEM drugs prescribed per prescription was 1.08, while the average number of all drugs prescribed was 3.35 per prescription. It was also found that some of the non-NLEM drugs prescribed had the potential to result in increased cost (for example, levocetirizine), increased adverse effects (dextromethorphan), and less effectiveness (losartan) when compared to their NLEM counterparts. Nonavailability of an essential drug (oral hydroxocobalamin) was another important finding of our study. CONCLUSION: This study highlights the extent and pattern of drugs prescribed from outside the NLEM at the tertiary health-care level and the need for training and enhanced awareness among prescribers for greater utilization of the NLEM. [ABSTRACT FROM AUTHOR]

Colonial medical education and public health policies emerged from an intriguing discourse of negotiation between the government and the people. These 'structured conflicts', rooted in the politics and the debates of the colonial institutions not only provided opportunities for creative thinking about public health but also for imposing constraints. The colonial and post-colonial India medical legislative debates revealing a new language of protest, assumed greater significance with the growing nationalist movement and the general (though variegated) intellectual polarisation – western and indigenous systems of medicine. Problematising the historiographic assertion of medical modernisation in colonial India to be a part of 'civilising mission', this paper argues that legislature emerged as a platform of activism and protest against the colonial and post-colonial State's appropriation of modernity. While some members appealed for extending the benefit of 'modern' western medicine to the general Indian population, some debated in favour of introducing the indigenous medical systems to the terms of modern professionalisation. The post-colonial policies reveal the true significance of the legislative debates in reviving the position of indigenous systems of medicine in the context of professional modernity. [ABSTRACT FROM AUTHOR]

This article looks at the translation and circulation of yogis' learning in Persian medical and alchemical texts produced in South Asia. I suggest that looking at the non-religious environment allows for a more accurate understanding of the overall circulation of yogic knowledge and techniques in the Muslim society of South Asia. Furthermore, I suggest that the assimilation of yogis' learning in Persian sources concerned not only Yoga but also other types of knowledge associated with yogis. Muslim physicians' interest in yogis' knowledge focused on one specific aspect: rasaśāstra "alchemy" and the mastery over the production of mercurial and metallic drugs. The technical and pragmatic focus of Persian medico-alchemical writings contributed to give views of yogis beyond the exotic and foreignizing category of the wonders of India. Medical writings helped to develop views of yogis as a socio-economic group involved in the transmission of a specific body of knowledge. This was an important shift away from the perspective of the 'ajā'ib al-hind "wonders of India" as well as from the ways in which yogis were perceived in Sufi texts. New perspectives on yogis emerged when Persian-speaking scholars and readers in India needed more pragmatic representations of local groups, such as the physicians who were in the process of appropriating alchemical notions that were closely associated with the yogis. [ABSTRACT FROM AUTHOR]

The genus Piper (Family Piperaceae), consisting of more than 2000 species worldwide, is one of the most speciose genera of flowering plants that belong to the broad category known as basal angiosperms. Piper is known for the several medicinally and economically important species that have been used throughout their native range. Interestingly, this genus is also one of the most taxonomically challenging genera among the angiosperms. The presence of taxonomically complex as well as ecologically and economically important species makes Piper an excellent study system to address the evolution of tropical biodiversity. Being an early-diverging angiosperm genus, understanding Piper systematics and divergence patterns holds vital clues to plant evolution in the tropics. However, research on this plant group is still in a nascent stage, with the primary focus being on its medicinal importance and natural product chemistry. Its distribution, natural history, ecology, evolution and systematics remain less explored. Lack of such knowledge will impede the ongoing conservation effort and may affect the sustainable utilization of this valuable plant resource. The Indian subcontinent is an important center of Piper diversity harboring ca. 100 species, including several economically and medicinally important species such as Black pepper. Piper species in India have a high potential for future utilization; however, their conservation status and needs have not been widely reviewed. Here, we review the taxonomy, ecology and evolution, of Piper species, the threats they face, and further discuss future research directions and suggest ways forward in conserving and effectively utilizing this important plant group in India. [ABSTRACT FROM AUTHOR]

Copyright of Al Malweah for Archaeological & Historical Studies is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Despite having one of the world's largest medical education consortium, India lacks a comprehensive and nationally representative data on suicide deaths among medical students and physicians unlike the one found in most of the developed nations of the world. Aim: We aimed to explore the different characteristics of suicide deaths among medical students, residents and physicians in India over a decade (2010–2019). Methods: Content analysis of all suicide death reports among medical students, residents and physicians available from online news portals and other publicly available sites was done. Search was done retrospectively using pertinent search words individually or in combination with language restricted to Hindi and English and timed from January 2010 to December 2019. Reports on completed suicide by allopathic medical students, residents and physicians from India were included. Socio-demographic and suicidological variables were analysed using R software. Results: A total of 358 suicide deaths among medical students (125), residents (105) and physicians (128) were reported between 2010 and 2019. Around 7 out of 10 suicides happened before the age of 30 and had mean age 29.9 (±12.2) years. Female residents and physicians were younger than their male counterparts at the time of suicide. Overall maximum suicide deaths were concentrated in South India except the state of Kerala. The specialty of anesthesiology (22.4%) followed by obstetrics-gynaecology (16.0%) had the highest suicide deaths. Violent suicide methods were more commonly used by all, with hanging being the most common mean of suicide. Academic stress among medical students (45.2%) and residents (23.1%), and marital discord among physicians (26.7%) were the most noticeable reasons for suicide. Mental health problems were the next most common reason in medical students (24%) and physicians (20%) while harassment (20.5%) was in residents. Twenty six percent had exhibited suicide warning signs and only 13% had ever sought psychiatric help before ending their lives. A total of nine reports of suicide pact were found with the average deaths per pact being 2.4 and predominantly driven by financial reasons. Conclusion: Academic stress among medical students and residents, and marital discord in physicians emerged as the key reasons for suicide. However, this preventable domain should be further explored through focused research. This is the first of its kind study from India which attempted to explore this vital yet neglected public health issue using the most feasible and practical method of online news content-based analysis. [ABSTRACT FROM AUTHOR]

Background: Australia has a high proportion of migrants, with an increasing migration rate from India. Type 2 diabetes is a chronic condition common amongst the Indian population. The decision to initiate and continue medication therapy (conventional or ayurvedic medicine) is complex and is influenced by a wide range of factors. Objective: To determine preferences for conventional vs. ayurvedic medicines in Indian migrants with diabetes, and to identify the factors that may influence their preferences. Methods: A discrete choice experiment was conducted with participants in Australia who were migrants from India with type 2 diabetes (n=141). Each respondent evaluated eight choice tasks consisting of eight attributes describing medicines and outcomes of medication taking; and were asked to choose 'conventional', or 'ayurvedic' medicine. A mixed multinomial logit model was used to estimate preferences. Results: Overall, respondents' preference to initiate a medicine was negative for both conventional (β=−2.33164, p<0.001) and ayurvedic medicines (β=−3.12181, p<0.001); however, significant heterogenicity was noted in participants' preferences (SD: 2.33122, p<0.001). Six significant attributes were identified to influence preferences. In decreasing rank order: occurrence of hypoglycaemic events (relative importance, RI=24.33%), weight change (RI=20.00%), effectiveness of medicine (RI=17.91%), instructions to take with food (RI=17.05%), side effects (RI=13.20%) and formulation (RI=7.49%). Respondents preferred to initiate a medicine despite potential side effects. Conclusions: There was a greater preference for conventional medicine, though neither were preferred. Medicine attributes and medication-taking outcomes influenced people's preferences for an antidiabetic medicine. It is important to identify individual preferences during healthcare consultations to ensure optimal medication-taking. [ABSTRACT FROM AUTHOR]

Background and aim: Globally, very few patients with mental illness go to health care facilities to receive psychiatry treatment. This study aims to identify pathways used by patients with severe mental disorders who seek mental health care services in the psychiatry unit of AIIMS, New Delhi. Materials and methods: It is a retrospective cross-sectional study with convenience sampling technique was used, and data were collected from 123 caregivers of patients with severe mental illnesses using standardized tools like MINI, BPRS, YMRS and WHO Encounter pathway. Results: The findings revealed that 41.5% of the patients made their first contact with the faith healers, 27.6% with AYUSH medical practitioners, 14.6% with psychiatrists and 12.2% with allopathic medical practitioners. About 26% of the patients reported hallucinations as the first symptom for seeking help. In the majority of cases (96.7%), the patient's relatives made the decision for the patient to seek treatment the first time to manage the symptoms. The psychotic symptoms (65.1%) helped the patient's relatives to take the decision for first seek. The mean delay for seeking treatment from psychiatrists was 13.31 ± 10.6 (months). Conclusion: This study showed that a higher proportion of patients received treatment from the faith healer at the first seek, whereas only a few patients approached psychiatrist directly. Hence, there is an immense need to create awareness regarding mental illness and treatment options available. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Surra Man Raa is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Using ethnographic data, this article suggests that the therapeutic use of various mercury compounds in siddha medicine has so far not decreased despite international regulation of the substance and discussions surrounding the safety of mercury. Siddha practitioners portray mercury as central to their therapeutics. The article demonstrates this for different contexts, including the preparation of mercuric medicines; the production of mercury amulets; and recent research studies on mercury-based siddha drugs, targeting, for instance, dementia-related syndromes. Contextualizing siddha mercurial procedures and preparations through interlinking therapeutic, historical, and global frames underscores the fact that mercury use in siddha medicine today derives from alchemical traditions, but also transcends them. It is embedded in political contexts of science and healthcare in India, as it answers to concerns about safety and toxicity and at the same time takes center stage in negotiating siddha medical specialty and alterity vis-à-vis other medical practices, most notably ayurveda. [ABSTRACT FROM AUTHOR]

We attempt a gendered inspection of sex differentials in care following stroke in India using data from two rounds of NSSO. While almost all men and women receive allopathic care, a higher percentage of women (51.8%) were treated in public hospitals compared to men (32.6%) in 2014 and 2017–18 (45.8% vs 41.4%). Men were preponderantly treated in private hospitals (67.4%) compared to women (48.2%) in 2014 and 2017–18 (58.6% vs 54.2%). We provide evidence that for rehabilitation, at the highest decile for expenditure, men spend more than women. This preliminary exploration is indicative of a gendered dimension in care-seeking for stroke. [ABSTRACT FROM AUTHOR]

In the modern world, modern medicine and complementary systems dominate the healthcare worldwide. Many developing countries which suffer with resources can improvise the healthcare at their retention by leveraging the extent of traditional medicine. A traditional Indian Atharva Veda implemented system of medicine called the Ayurveda, has gigantic benefits to human kind. This way of medicine deals majorly with naturally available herbs and methodologies to treat human health and promotes healthy practices for a better lifestyle. Ayurveda works on the idea of balancing biological systems. Ayurveda is primarily accomplished in India and being recognized internationally due to the effectiveness and use of naturally available herbs and associated methodologies to cure the diseases. Ayurveda as a system is successful, yet not widely practiced, there are range of reasons that has limited Ayurveda to reach its potential, such as less importance is given to Ayurvedic education and its practices, very few or no advancement is seen, resources limitations due to funds, limited technical support, and unstructured database. Therefore there is a constant need of improvising the field with technology and effectively creating knowledge based systems to improvise the practice of Ayurveda and to optimize its benefits. In this paper, a survey on the benefits of Ayurveda for women hormonal imbalance, Ayurveda for Skin and Hair health is done along with the Artificial intelligence technology advancements in the field of Ayurveda. The intend of the paper is to layout the benefits this 5000 years old approach towards medicine has to offer and the use of Artificial Intelligence to promote and influence its growth. [ABSTRACT FROM AUTHOR]

The paper describes quantitative and qualitative dimensions of nanomedicine research studies in India. The study is based on research publications data in nanomedicine research (1491 publications) as covered in Scopus data base for the period 2002-20. The study finds that nanomedicine research in India registered a high 73.7% growth with an average of 22.93 citations per paper. The nano-oncology subfield accounted for the highest share (48.49% share) in the national output, followed by seven other nanomedicine subfields. Jamia Hamdard University, Delhi, Panjab University, Chandigarh and Banaras Hindu University, Varanasi lead as the most productive organizations in the country. The paper also lists the most productive authors in nanomedicine research. The most productive research journals that reported nanomedicine research in India include Nanomedicine, International Journal of Nanomedicine and Current Pharmaceutical Design. In addition, International Journal of Pharmaceutics, International Journal of Nanomedicine and Drug Delivery Today topped in the list of most cited research journals. [ABSTRACT FROM AUTHOR]

This article focuses on the Health and Child Welfare Exhibition held in colonial Calcutta in 1920. Despite a few scholarly references, however, there has been no detailed study till date. The vicereines of India launched child welfare exhibitions motivated by the transnational exhibitory baby health week propaganda initiative to curb infant mortality. These exhibitions were also locally organised and collaborative in nature with an urgent nationalist appeal. The study critically engages with select Exhibition lectures about so-called 'clean' midwifery and 'scientific' motherhood given by famous Bengali medical practitioners and other prominent professionals, predominantly men and a few women. These drew intimate sociobiological connections between the problems of 'dirty' midwifery, ritual pollution, improper confinement, insanitary childbirth, insufficient lactation and the excessive maternal and infant deaths in Calcutta. The central argument is that these public lectures primarily focused on the very making of the 'ideal' Indian nursing mother, often imagined as the traditional yet modern bhadramahila mother figure, for rejuvenating community and national health and vigour. Correspondingly, it highlights the transnational resonance of famous Frederic Truby King's 'mothercraft' popularised as childcare by the clock. The paper is, therefore, guided by the twin purposes of filling the gap in our knowledge about child welfare exhibitions in colonial India and illuminating extant scholarship on the global infant welfare movement. [ABSTRACT FROM AUTHOR]

Between 1867 and 1933, the understanding of leprosy within the colonial medical establishment in Bombay city was fractured on two issues: whether leprosy was contagious and whether individuals with leprosy should be segregated. This article explores how legislation paved the way for resolving these issues in Bombay between 1867 and 1933. Furthermore, the article seeks to problematize the notion of "diseased bodies" or "lepers" through legislation to protect healthy individuals from possible degeneration. Leprosy in Bombay reflected the anxieties of the city's business elite who were averse to accommodating patients from other parts of British India. In addition, the article studies leprosy and "lepers" by analyzing archival documents and public health reports within the context of Bombay city.

Medicine is one of the most critical contributors to life expectance. However, essential medicine is the foremost cause of death and disability in developing countries that can be prevented, cured, and improved with cost-effective essential medication. Besides this, thousands of people don't have access to essential medicine. The majority of the people spent their huge share of income on medicine, which traps them into a vicious circle of poverty. The huge prescription of medication is a leading cause of treatment delay. Further, essential medicines save lives and enhance the health of the population but only when they are accessible at an inexpensive, reasonable, and affordable cost and used properly. Despite certain policy measures and programs, a huge chunk of the population doesn't have access to essential medicine, and this remains the pivotal public health issue in India. The availability of harmless, effective, affordable, and quality medicines for all is one of the most important targets for sustainable development goals. For acquiring universal health coverage, access to safe, effective, and affordable essential medicine is a paramount aspect. The main aim of this paper is to examine the significance and factors of irrational prescription. It also analyzes the trends of the burden of medical cost and its socio-economic impact on households. This paper is based on a secondary date. It is estimated that by improving access to existing essential medicines and vaccines, about 10 million lives per year could be saved. The studies revealed that as much as 25%-70% of overall health expenditure in developing countries is spent on medicines whereas, around 10% of health expenditure in most high-income countries is consumed by medicines. In India, medicines consumed a higher share of total health expenditure, over 43%. However, several studies depict that more than three lakh crore rupees that households spent on health, and about 42% of the total out-of-pocket expenditure (OOP) went in the procurement of medicines. Moreover, households spent around 28% of the OOP spending in private hospitals, and this constitutes 62.6% of the total OOP health spending in India, both government and private sources. [ABSTRACT FROM AUTHOR]

The growing number of legal issues in various fields and specialties in the current era has been no different in the healthcare sector. The complexity associated with such issues has been the major concern of practicing doctors/healthcare professionals. In this article, an attempt has been made to focus the legalities in the field of medicine with an emphasis on the Indian set up and existing Laws governing such actions. The article comprises of medico-legal case management, awareness and prevalent practices among the health care professionals especially among those who are directly or indirectly involved with the treatment of patients. As far the awareness is concerned regarding a procedure, the documentation and various other medico-legal issues were studied in detail. Also, various aspects of medico-legal cases admitted in the hospital. [ABSTRACT FROM AUTHOR]

Rationale, aims, and objectives: Osteoporosis is a common health problem in India, which leads to significant morbidity and mortality in elderly individuals. Lack of knowledge and awareness among medical professionals is one of the important barriers in management of these patients. Therefore, this study was conducted to assess knowledge pertaining to diagnosis and treatment of osteoporosis among a group of Indian medical practitioners. Methods: The study participants included 222 allopathic medical professionals, either graduate or postgraduate working in primary or secondary health care levels. They were assessed using a previously validated Fogelman's multiple choice questionnaire. Out of a total of 18 questions, four questions pertained to knowledge of diagnosis, three questions to treatment decisions, one question to assess knowledge regarding recommended dosage of vitamin D and calcium supplementation, five questions concerned medication use, and the rest to assess attitude and practices. The correct answers were converted into scores and expressed as percentages with a maximum of 100. Results: The mean total score among them was 22.5%, which was quite low. Almost all of them had a score of less than 50%. Medical practitioners performed better in diagnosis‐related questions, (19.4% answered all options correctly) than in medication knowledge (no correct response regarding side effects and 2% regarding contraindications). In treatment‐related decisions, 37.4% answered correctly for duration of treatment, and 59% answered correctly for treatment goal. Only 1.4% of them were able to answer correctly regarding recommended calcium and vitamin D intake. Professional literature, conferences, and Continuing Medical Education (CME's) were regarded as the main sources of information on the subject by 40% of practitioners. Conclusion: This study showed suboptimal knowledge among a group of medical professionals regarding various aspects of diagnosis and management of osteoporosis, and it stipulates the need for escalating the efforts to improve their knowledge regarding various aspects of osteoporosis. [ABSTRACT FROM AUTHOR]

The article provides a list of international conferences scheduled for March 2024 in various locations around the world.

Healthcare systems worldwide are grappling with the challenge of providing high-quality healthcare in the face of evolving disease patterns. India, like many other countries, faces a significant treatment gap for various curable impairments, non-communicable diseases (NCDs), and cardiovascular diseases (CVDs). To address their healthcare needs, individuals often relocate in search of better treatment options. However, no studies were conducted to understand the spatial mobility. This paper explores the determinants of spatial mobility for treatment in India using data from NSS 75th round (2017-2018). A total of 64,779 individual medical cases of different diseases were taken into consideration for our analysis. Fixed effect and multinomial regression models were used to understand diseases specific mobility for treatment. It was found that those with CVDs, NCDs, and disabilities are more prone to travel outside their district for medical care. Rural and economically disadvantaged individuals also tend to travel further for treatment. The key factors impacting treatment-seeking mobility include insurance coverage, hospital quality, cost of medicine, and cost of X-rays/surgeries. The study highlights the need for improved policies to address the gap between healthcare needs and infrastructure in India, with a focus on prioritizing the development of local healthcare facilities for disabilities, NCDs, and CVDs., (© 2024. The Author(s).)

Women doctors in post-colonial India were an integral part of the developmental regime envisaged by policy makers in the field of public health, especially in efforts to control overpopulation and regulate maternal and infant health in a newly independent nation embracing modernity and progress. Oral history interviews demonstrate that women doctors perceived themselves as crucial to this process of nation building, and their role in providing healthcare to Indian women placed them on an equal footing with their male colleagues. However, this narrative of equality did not often find its way into domestic spaces, and oral history interviews reveal the ways in which women doctors were forced to negotiate, modify and sometimes accommodate other narratives. [ABSTRACT FROM AUTHOR]

Despite decades of research on India's plural health care market, the practices of many local health traditions outside the allopathic and codified traditions are under-studied. Drawing on interview and observational data, this paper explores the space in which indigenous traditional Khasi healers in Meghalaya state, northeast India, practice. Khasi indigenous healers describe themselves as doktor sla, plant doctors, to distinguish themselves from doktor kot, or book doctors. This distinction operates as a rhetorical resource, utilised to carve a distinct sphere of expertise in relation to the allopathic sector, and to mark claims for the specifically local appropriateness of traditional practices within a shifting market of state-sponsored provision. Khasi healers are a heterogeneous group who treat a wide variety of conditions, including physical ailments which have no obvious correlates in biomedical systems, and musculoskeletal disorders, with which they have recognised expertise. In addition to claiming these discrete strengths, healers also present themselves as accommodating deficiencies in biomedicine, including inherent generic weaknesses of allopathic care as well as specific local gaps in rural health care provision. Thus, the expertise niches of traditional healers have evolved through their interactions with, and the needs of, the community, but also through managing a shifting boundary with biomedical practitioners, who are explicitly sceptical of their efficacy, but tacitly accepting of the ways in which they manage the gaps in biomedical provision. While codified non-biomedical traditions in India have engaged in universalising professionalising projects, in this setting at least, non-codified practitioners have instead utilised discourses of localism. [ABSTRACT FROM AUTHOR]

This article presents an analysis of the way in which rlung ("wind, breath") functions as a mode of explanation for what Western medicine regards as "psychiatric" illness, based on field research on the topic of mental health, illness, and healing conducted within a Tibetan population in Darjeeling, northeast India. The article explores this notion of rlung and its relationship to body and mind, in order to examine its role in the causation and treatment of various forms of "mental illness", before analysing some similarities and differences between rlung-related categories and biomedical classifications of mental illness. [ABSTRACT FROM AUTHOR]

Objective: Exacerbations are important outcomes in asthma. Risk factors for exacerbations may differ in different populations. Although various demographic and clinical variables were examined in previous studies on exacerbation risks in asthma, important variables such as ethnicity, adherence, and medication titration were not included. This study examined independent predictors of future exacerbations in a multi-ethnic asthma population in Asia, while including the variables of ethnicity, medication adherence, and medication change in our analysis. Methods: We recruited patients with physician-diagnosed asthma in a tertiary hospital in Singapore over a one-year period. Exacerbations requiring ≥3 days of systemic corticosteroids one year prior to study enrolment (previous exacerbations) and the year following enrolment (future exacerbations) were recorded from electronic medical records. Medication adherence was based on pharmacy refill. An increase or a decrease in the Global Initiative for Asthma treatment steps were considered to be medication up- and down-titration, respectively. A multivariate logistic regression model was constructed to determine independent predictors of future exacerbations. Results: The study cohort of 340 patients comprised mainly of Chinese (53.2%), Malay (32.9%), and Indian (9.7%) ethnicities. After multivariate analysis, only Indian ethnicity (OR 3.75, 95% CI 1.077–13.051, p = 0.038), Asthma Control Test score (OR 0.913, 95% CI 0.839–0.995, p = 0.037), and the number of previous exacerbations (OR 1.84, 95% CI 1.416–2.391, p < 0.001) were independent predictors of future exacerbations. Conclusions: There are ethnic differences in exacerbation risk in Asian populations. Each incremental worsening of the asthma symptom control score and each additional exacerbation also increases the risk of future exacerbations. [ABSTRACT FROM AUTHOR]

Purpose: Students joining medical studies may be motivated by many factors. However, there may also be some factors which may concern them. Although, it can be assumed that those joining medical studies would have largely been influenced positively, how the factors interact in different groups of students has not been studied adequately. Methods: We conducted a questionnaire-based survey in first-year medical students. Besides the demographics and intentions about their future career plans, students rated a list of positively influencing items and a list of negatively affecting items relevant to our context that influenced their decision. We performed factor analysis followed by clustering of study participants. Results: Ninety-seven students participated in the survey which comprised of 59% females with mean age of 18.6 years. The factors extracted were named as 'personal growth factor,' 'professional calling factor,' 'personal concerns factor,' and 'professional concerns factor.' Four distinct clusters of participants differing in their average ratings to each of the above factors were identified. Conclusion: This study provides information on the factors that influence students to join medical studies from an Indian context. The motivational patterns were varied in different sub-groups of students. The data obtained from this study may provide pointers to educators to plan training of students, changes in curricular structure that takes into account the expansion of medical education into specialties and beyond. [ABSTRACT FROM AUTHOR]