Background: Successful identification of emotional expression in patients is of considerable importance in the diagnosis of diseases and while developing rapport between physicians and patients. Despite the importance of such skills, this aspect remains grossly overlooked in conventional medical training in India. This study aims to explore the extent to which medical students can identify emotions by observing photographs of male and female subjects expressing different facial expressions. Methods: A total of 106 medical students aged 18–25, without any diagnosed mental illnesses, were shown images of the six universal facial expressions (anger, sadness, fear, happiness, disgust, and surprise) at 100% intensity with an exposure time of 2 seconds for each image. The participants marked their responses after each image was shown. Collected data were analyzed using Statistical Package for the Social Sciences. Results: Participants could identify 76.54% of the emotions on average, with higher accuracy for positive emotions (95.6% for happiness) and lower for negative emotions (46% for fear). There were no significant variations in identification with respect to sex of the observers. However, it was seen that participants could identify emotions better from male faces than those from female faces, a finding that was statistically significant. Negative emotions were identified more accurately from male faces, while positive emotions were identified better from female ones. Conclusions: Male participants identified emotions better from male faces, while females identified positive emotions better from female faces and negative ones from male faces.
Background: Irrational prescription practices are a distressing global problem, especially in the developing countries. A study was conducted to assess the patterns of prescribing and dispensing drugs in a tertiary healthcare centre serving a large rural population in the eastern India.Methods: A cross-sectional observational study was conducted from July-September 2016 in the general out-patient department and the institution pharmacy of a tertiary care hospital of West Bengal, India. Data were congregated by collection and review of individual prescriptions, measuring the time of interaction between patients and prescribers/dispensers, and conducting patient interviews at exit.Results: Analysis of the collected and tabulated data revealed that after average, 2.5 medicines were prescribed per prescription, with 95.26% being under their generic name. Of the drugs prescribed, 95.79% were from the essential drug list. The average consultation time was 150.0s (SD 62.3s) and average dispensing time was 81.5s (SD 51.2s). Of the drugs prescribed, 86.12% of drugs were actually dispensed from the institution pharmacy but none of the drugs were labeled. The percentage of prescriptions with an antibiotic was 47.83%, while injections were recorded on in 2.83% of the prescriptions. Percentage of patients who had knowledge of the dosage of the drugs prescribed to them was 91.67%.Conclusions: While the study found high percentages of drugs prescribed under generic names high percentage of drugs actually prescribed from the Institution Pharmacy, prescription of drugs from the Essential Drugs List, and a low number of injections per prescription conforming to WHO set standards, it also found a lack of drug labelling, high percentage of prescription of antibiotics to be indicators that do not conform with the WHO set international standards.
Background: Personality of medical students have been shown to affect both their academic performance as well as their capabilities to develop rapport with patients, with evidence that they change through the medical course. This research aimed to explore the personality traits of undergraduate medical students and assess whether personality parameters changed throughout the medical education course. Methods: A pseudo-longitudinal design was utilized for this study. A total of 346 MBBS students studying in a Medical College of Eastern India were recruited at different stages of their coursework. These participants were similar in their sociodemographic makeup and differed only with respect to their year of MBBS study. The personality characteristics were assessed among these participants using the short-form revised Eysenck personality inventory. Results: The minimum possible score for each subscale was 0, and the maximum was 12. Mean scores of the participants for the extraversion, neuroticism, psychoticism, and lie scales were 6.17±3.09, 7.51±3.16, 3.40±1.61, and 4.98±2.48, respectively. Females scored significantly higher in neuroticism and lie dimensions. There were significant differences of psychoticism scores between rural and urban background participants. Significant negative trend was seen from the first to the final year of study in the extraversion dimension (Kendall’s tau =-0.094, p-value=0.025). Conclusion: Medical students in India scored high on the neuroticism and low on the psychoticism scales of personality with a trend of increasing extraversion over the years of their coursework.
Two studies reported Basic Occupational Health Services including Primary health care system as a promising strategy to fulfill the gaps in areas of surveillance, prevention and treatment of OH hazards and health issues. Conclusion Occupational Health service provision even though excludes current legal framework in informal sectors, few efforts are done towards recognizing and fulfilling this gap. The solidification of OHS can be done by exploring its integration with primary health care set up of India in existing scenario.
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