ABSTRACT

Introduction: Depression is an illness it affects millions of people each year and does not discriminate between age, sex or race. Depression can devastate not only the person experiencing the depression but their loved ones. The risk of death from suicide, accidents, heart disease, respiratory disorders, and stroke is higher among the depressed.
Objective: The objective was to fi nd out the choice of Antidepressant by Psychiatrists.
Materials and Methods: This is a cross-sectional study conducted in Tamil Nadu and Pondicherry in India. Between December, 2005 and April 30, 2006. All practicing psychiatrists and doctors working in private and government organization were as asked to complete a self-administrated questionnaire. These doctors were chosen for the study as they are responsible for treating the majority of psychiatric patients in government hospitals, public outpatient clinics and private clinics in Chennai, Madurai, and Pondicherry. The survey included demographic data on age, gender, and type of practice. It also covered fi rst – line preferences in the treatment of depression and effi cacy of anti-depressants.
Results: The survey refl ected the prescribing pattern for the period studied December 1, 2005 to April, 2006. Of the 26 questionnaires sent to 31 persons, there were 30 respondents, an overall response rate of 97%. According to this study, selective serotonin reuptake inhibitors (SSRI) agents are favored as fi rst-line treatment in a fi rst episode of depression and are prescribed more frequently than tricyclic antidepressants (TCA) agents. Fluoxetine and citalopram were the most frequently prescribed SSRI. The SSRIs were probably the drug class of choice because of minimum the side effects better tolerated than the older drugs, there is better patient compliance with the once a day dosing and the suicide potential is low. This study clearly revealed that fl uoxetine, amitriptyline, and moclobemide are most frequently prescribed antidepressant drugs in the group of SSRIs, TCAs, and monoamine oxidase inhibitors (MAOIs), respectively.
Conclusion: This study shows the newer antidepressant, SSRIs were prescribed in the majority of cases and were considered to be of greater effi cacy than the older antidepressants such as the TCAs and MAOIs. It has been concluded that SSRIs were deemed to be the class of drugs that would most likely be prescribed.

ABSTRACT

Objective: The aim of education is to change the attitude. Thus, it has to be aimed at the minds of the students. Therefore, taking account of students’ opinion about the educational strategies, scheduling of syllabus as well as evaluation methodology is valuable. The feedback obtained from the students, therefore, would be essential to bridge the gap between the teaching schedule and ability of the students to learn. Therefore, a feedback was obtained from the students of Government Medical College, Miraj (GMCM) regarding their perceptions of the current medical educational program and the changes desired.
Materials and Methods: A questionnaire was given to 300 MBBS students of GMCM. It consisted of questions regarding teaching methods, teaching schedule, course duration of I MBBS, method of evaluation, student-teacher relationship and responsibilities of students, and the changes desired in the current system of education and evaluation.
Results: Student’s opinion was calculated in terms of percentage for different options.
Conclusion: Most students feel that the teaching schedule is too exhaustive and sometimes be provided for assimilation of what is learned. Furthermore, current education is knowledge oriented rather than being clinically oriented. There should be integrated teaching for basic sciences. Lectures should contain essential syllabus and lecture duration should be 45 min. Students learn better with discussions. There should be special education for poor performers, but strict evaluation of skills achieved by the students is desired. The evaluation should be objectively structured and more emphasis be given to practical examinations and viva. Furthermore, medical students be taught communication skills.

ABSTRACT

Objective: This study was intended to evaluate perception of the young adult obese women toward weight training as a proper and useful modality as compared to walking.
Study Design: The questionnaire-based study was conducted in a weight management clinic in Maharashtra state, India. Obese women between 18 and 40 years of age during their first visit were studied for their perception about weight training.
Results: There was no signifi cant difference between the scores with walking and weight training indicating these as proper and useful modalities of exercise.
Conclusions: Our results clearly indicate that weight training is perceived to be an equally proper and useful modality of exercise as compared with walking among obese women. Further studies using larger sample size are required.

ABSTRACT

Background: Heart rate variability (HRV) is a non-invasive recording of the sympathovagal interaction modulating cardiovascular function. Analysis of HRV has been used to evaluate cardiac autonomic tone. There are different autonomic tones at different times of the day infl uenced by daily activities, stress, and environment. The study was done to observe the effect of time of day on sympathovagal balance in healthy young adults using frequency domain indices of HRV.
Aim and Objective: The aim was to fi nd out the ultradian rhythm variation (morning and evening) in frequency domain indices of HRV in healthy young adults.
Materials and Methods: A total of 100 healthy subjects (50 males and 50 females) in the age group of 18-25 years were included in the study. They were screened by history and physical examination to exclude cardiovascular and any abnormalities.
Methodology: Short term HRV (Lead II electrocardiography [ECG] for 5 min) was done by using standardized neuroperfect electromyography 2000 (with installed HRV software) machine. For each and every subject two recordings were done, – one in the morning between 9 and 10 AM before starting the daily activities of the day and one in the evening between 3 and 4 PM at the end of the day.
Result: The results were statistically analyzed by using Students t-test. Comparison of frequency domains low frequency (LF), high frequency (HF), LF/HF ratio between morning and evening sessions for the same individual were carried out. LF was increased in the evening session when compared to the morning session and the difference is statistically signifi cant (P < 0.0001). HF was decreased in the evening session when compared to the morning session and the difference is not statistically signifi cant (P = 0.2745). LF/HF ratio also increased in the evening session when compared to the morning session and the difference is statistically signifi cant (P < 0.0001).
Conclusion: There exists a signifi cant difference in LF and LF/HF ratio between morning and evening recordings. It is concluded that time of the day has a signifi cant impact on cardiac autonomic tone.

ABSTRACT

Background: Blood transfusion is a rare, uncommon but important mode of transmission of infections to recipients. This study was conducted to evaluate the markers of human immunodefi ciency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV), and syphilis among blood donors in Salem, Tamil Nadu.
Materials and Methods: A 1-year retrospective study was conducted from June 2013 to June 2014 at the Immunohematology and blood transfusion center at Vinayaka Missions Kirupananda Variyar Medical College, Salem. A total of 3680 donors were tested.
Results: About 59% were replacement donors and 41% were voluntary donors. The seroprevalence of HIV, HBV, HCV, and syphilis was found to be 0.065%, 0.662%, 0.779%, and 0.150% in voluntary blood donors as against the figures 1.063%, 1.382%, 0.323%, and 0.564% in replacement blood donors.
Conclusion: The seroprevalence of HIV, HBV, and syphilis was more in replacement donors than voluntary donors. This calls for mandatory routine screening with more sensitive and stringent screening methods for blood donations.