Studies have shown that a significant proportion of healthcare professionals were unaware of the universally recognized bioethical principles. The study was conducted to assess the knowledge and attitude towards bioethics among undergraduate medical students of a Medical College and also to find out the association of knowledge and attitude towards bioethics with other factors. This was a Cross Sectional study conducted at a medical college of Chengalpattu district between April to September of 2019. Study participants included medical undergraduate students from second academic year to fourth academic year of the medical college who had clinical exposure. Data was collected from a total of 224 subjects using a pretested, self-administered questionnaire. 89.3% of the respondents had poor knowledge about medical ethics. The prevalence of good+excellent knowledge about bioethics was highest among 17-19 years age group (95.8%) and least among >22 (60%) years age group, highest among those with <12 months of clinical exposure (100%) and least among those with 25-36 months of exposure (57.8%) and both these associations were found to be statistically significant by Chi square test. (P= 0.048 and <0.001 respectively). Majority of the subjects (>58%) had a favourable attitude towards the correct ethical practices with respect to most of the issues (11/15). However, majority of them (>53.1%) also had a favorable attitude towards certain issues (4/15) which are debatable. The most preferred sources for learning about medical ethics were seminars (81.7%), clinical discussions (78.1%) and lectures (57.1%). Majority of the subjects had poor knowledge about bioethics. The knowledge was better among students of earlier years of course compared to those in the later part. Majority of the subjects had a favorable attitude towards the correct ethical practices in most of the cases. The most preferred sources for learning about medical ethics were seminars, clinical discussions and lectures
Sleep deprivation has been hinted to have a deleterious effect on health workers who are involved in multitude of life saving tasks, which often require more attention and concentration. The Centers for Disease Control and Prevention and the national health portal (Government of India) have now recognized sleep deprivation as a public health epidemic. The main effects of sleep deprivation include physical effects (sleepiness, fatigue, or hypertension), cognitive impairment (deterioration of performance, attention, concentration and intellectual capacity and increase of the likelihood of accidents) and mental health complications. Rotational night shift work is often accompanied by insufficient sleep and disruption of circadian phase, each related to repeated errors on task performance as a result of lapses in attention and increased reaction time. Maintaining good quality of sleep is vital for the establishment of positive health and physical/mental well-being; nonetheless, lifestyle and environmental factors are progressively causing hitches in sleeping. Individuals with shift work sleep disorders need a customized and comprehensive therapy that includes counselling, yoga/meditation and behavioural therapy along with requisite pharmacological management, as and when warranted.
Background: SNORE (Sleep deprivation among Night shift health staff On Rotation Evaluation) study is conceptualized to study the effects of sleep deprivation on healthcare professionals working night shifts on rotation. Materials and Methods: A comparative cross‑sectional study is devised including health‑care professionals working night shifts on rotation at a tertiary level health‑care facility, using a semi‑structured questionnaire which can test sleep deprivation, cognitive ability, and quality of life. The process is to approach 309 probable study participants based on stratified random sampling, after exclusion of health‑care professionals with other factors which may interfere with sleep deprivation testing. Discussion: The study protocol was set in such a way as to randomly include participants from all cadres of healthcare providers as per population proportion. By measuring the effects on cognitive effect and quality of life necessary steps can be taken to provide better quality of life and to decrease cognitive impairment, especially among health care professionals working night shifts.
Background: Adherence to healthy diets favouring seafood, poultry, whole grains, fruits and vegetables, are related to better fertility in women and better semen quality in men. Along with pharmaceutical treatment, the role of a proper diet and lifestyle has been highlighted in many diseases like hypertension and diabetes. Likewise, the role of diet in fertility is a less explored area which holds great potential. The first step towards implementation of this fact will be increasing the awareness about the same among healthcare professionals, mainly doctors. Methods: A cross-sectional study including medical practitioners in 3 hospitals each in Tamil Nadu and Kerala. Assuming 50% prevalence and 8% allowable error, sample size was calculated to be 156. Data collection was done using a semi-structured and self-administered questionnaire. Results: Among the total, 80.1% of the medical practitioners responded that diet played an important role in boosting fertility of an individual and 72.1% had faced questions regarding the foods to improve fertility. In terms of knowledge, 28% of the respondents were able to score more than 60 out of a maximum score of 100. Conclusions: Future efforts should concentrate on solidifying emerging evidence and to jointly consider female and male diets along with other interventions for infertility management.
Background: Even though India has a very high burden of non-doctor prescription practices, there is no regulatory body governing the availability of OTC drugs unlike the Western countries. This study was aimed at evaluating the non-doctor prescription practices and the factors keeping the population away from healthcare facilities.Methods: This was a community based cross-section study including 234 women aged 18 years and above from urban and rural field practice areas of a teaching hospital in Tamil Nadu. Data was collected using a validated and pilot tested 4-part interview process and analyzed using IBM-SPSS version 21.Results: Data analysis points towards a 61.11% prevalence of non-doctor prescription practices which showed statistically significant association with all the demographic variables except income. On further inquiry, 29.49% reported having given medications to a child (<15 years) without prescription. The quality of care score was negatively correlated to the non-doctor prescription practices (r = -0.723, p<0.001).Conclusions: The findings from this study points towards the need for further research to have a better understanding of the factors which make people choose not to visit a healthcare facility despite having knowledge about the hazards of NDPPs.
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