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   Table of Contents - Current issue
Coverpage
January-June 2021
Volume 9 | Issue 1
Page Nos. 1-40

Online since Wednesday, November 24, 2021

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ORIGINAL ARTICLES  

Prevalence of sickle cell: A study from tribal rural western Maharashtra, India p. 1
Neha Satam, VW Patil, Deepa Garg, Thankamani Marar
DOI:10.4103/dypj.DYPJ_10_20  
Background: Sickle cell disease (SCD) is a common and neglected inherited disorder in the Indian tribal and nontribal population. Prevalent in scheduled populations, these are socioeconomically disadvantaged communities. SCD pathogenesis is widely studied at national and international levels which are limited to pain episodes and vaso–occlusive crisis. Objectives: In the present study, we studied the prevalence of SCD in tribal and rural population from Palghar. Materials and Methods: Subjects from primary health centers of Palghar, Maharashtra, were included in this study. Informed written consent was obtained from the all subjects. The investigation was done by solubility test and high–performance liquid chromatography, along with complete blood count. Results: Population is divided into three groups: sickle cell homozygous (HbSS), sickle cell heterozygous (HbAS), and control (HbAA). In the sample size of 5000 subjects, 1% sample was found to be affected by SCD (HbSS) and 4.08% were sickle cell heterozygous (HbAS). Comparison among hemolytic events versus vaso–occlusive single events suggests that hemolytic events, pallor and yellow sclera, counted more than other single vaso–occlusive event. Detailed screening and awareness will be the key to early intervention to reduce morbidity and mortality due to SCD. Conclusions: As SCD is becoming an increasing health concern within India, identification and creating awareness is of paramount importance. In this pilot study, heterozygous and homozygous for the sickle cell gene were explained and it is clear that SCD is a major hemoglobinopathy among the tribal people of Palghar. Further in–depth study is necessary for a proper understanding of pathogenesis of SCD.
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Knowledge, perceptions, and barriers to personal protective equipment usage with suggested remedial measures among health-care workers during COVID-19 pandemic p. 6
Suraj Kapoor, Prem Vardhan, Vivek Anand, S Vijay Bhaskar, Arun Kumar Yadav, Saurabh Mahajan, Mandeep Kaur, Surinder Kumar
DOI:10.4103/dypj.DYPJ_27_21  
Introduction: Personal protective equipment (PPE) is the most powerful method to protect health-care professionals from contact with infectious agent. This study was conducted with an aim to assess knowledge, perceptions, and barriers to PPE usage among health-care workers (HCWs) with assessment of suggested remedial measures against COVID-19. Materials and Methods: A cross-sectional descriptive study was conducted among health-care professionals involved in COVID care across the country. Results: A total of 167 study participants were included in the study with a mean age of 31 years with standard deviation of 4.4. A total of 123 (74%) of the participants had a knowledge score of 5 or more out of 11 (above average), while 44 (26%) had score <5 suggesting poor knowledge. On inquiring about various barriers/challenges faced while using PPEs, visual problem due to fogging of goggles was found to be most common among 158 (94%) of the study participants. On assessing various remedial measures suggested by study participants to improve vision due to fogging, 54% of participants suggested application of thin layer of clear shower gel or any high-viscosity clear liquid on inner side of protective goggles before donning, while about 20% of study participants suggested application of micropore/elastoplast over the nose bridge to seal the mask properly. To overcome communication/hearing problem, about 32% of the study participants suggested use of microphone along with a portable speaker to amplify the voice. Conclusion: To promote good infection prevention and control strategies, it is necessary to impart training in the field of appropriate use of PPEs. This study may serve as a guide to health administrators as well as other HCWs in adopting ways and means to ameliorate the problems encountered in the use of PPE kits.
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Knowledge, attitude, and practice of publication of manuscript in a scientific journal: A cross-sectional study among health-care practitioners p. 12
Anant Patil, Deepak Langade
DOI:10.4103/dypj.DYPJ_8_20  
Objective: To understand knowledge, attitude, and practice of health-care professionals related to the publication in a scientific journal. Materials and Methods: In this cross-sectional study, health-care professionals responded to a questionnaire consisting of 14 close-ended questions related to manuscript writing and submission. Results: One fifty healthcare professionals were included (mean standard deviation age 38 (8.8) years; clinical 79 (52.7%); nonclinical 20 (13.3%) and para-clinical 51 (34%). One hundred and eight (72%) participants were postgraduates by education. A total of 19 (12.7%), 85 (57.4%), 60 (40%), 31 (20.7%), 42 (28.8%), 115 (77.2%), 133 (88.7%), 59 (39.3%), 82 (55.4%), 125 (85%), 125 (84.5%), 141 (94%), and 97 (64.7%) were aware about quantitative indices other than impact factor, need of registration of clinical trial in clinical trial registry, guest author, ghost author, reporting standards, referencing styles, plagiarism, redundant publication, declaration of conflict of interest, need for permission for reproducing images/tables/figures, need of ethics committee permission for clinical studies, and open access journal, respectively. A total of 64 (43%) think about journal before writing the article. Sixty-three (42%) reported preference for open access journal and 93 (62.8%) favored online submission. Sixty-four (42.7%) respondents training for improving quality of manuscript, whereas 81 (54%) reported both training and inclusion of a chapter on manuscript writing in curriculum will be useful for improving quality of manuscript. Conclusion: There is a need to improve the awareness related to manuscript writing among health-care professionals.
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Sleep quality and processed food consumption among female college students p. 17
Mitravinda Aneesh, Ananya Chaganty
DOI:10.4103/dypj.DYPJ_13_20  
Background: Shorter sleep duration and processed food intake have been associated with higher body mass index and increased risk to metabolic syndrome. We conducted a cross-sectional study to find the association between processed food intake and sleep quality. Materials and Methods: We recruited 100 female college students aged 18–24 years. Height, weight, and waist circumference were measured. We used Pittsburgh Sleep Quality Index to assess sleep quality. Processed food intake was estimated by using a semiquantitative food frequency questionnaire. Results: Half of the students had poor sleep quality. One-fourth of the students slept for more than 7 h/day. Fast food intake was associated poorer sleep quality and higher daytime dysfunction (P < 0.05). Consumption of high sugar foods was associated with the shorter duration of sleep (P < 0.05). Conclusion: This study suggests that the quality of food can potentially influence the quality of sleep.
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Revised socioeconomic status scales for the year 2021: Updation based on latest base year series 2016 p. 22
Monalisha Sahu, Arpita Das, Biswadip Chattopadhyay, Bobby Paul, Madhumita Bhattacharyya
DOI:10.4103/dypj.DYPJ_25_21  
Context: Most of the public health and medical research include economic and social status as one of the pertinent predictors for health-related variables at the individual or family level. Modified B. G. Prasad scale (1961) and Modified Kuppuswamy scale (1976) are two of the most widely used socioeconomic status scales in India for health and social research. The income ranges in these scales need a frequent update with a rapidly growing economy and changing consumption patterns with time. Aim: This study revised the Modified Kuppuswamy and B. G. Prasad scales by updating income ranges as per the latest consumer price index (CPI) numbers of industrial workers (IW) and latest base year (2016) extracted from the Labour Bureau, Government of India. Methodology of the Study: Multiplication and conversion factors were calculated using CPI-IW (base year 2016 = 100) and linking factor. Updated income ranges for the Modified Kuppuswamy scale were estimated after calculating the multiplication factor (MF) between the year 1976 and the present year, whereas linking factor 2.88 and MF 1.20 have been used to calculate the income limits for the Modified B. G. Prasad scale. Results: The updated income range of the Modified B. G. Prasad and Kuppuswamy scale was estimated to be 78.89 and 26.46 times the income range values of the original scales (1961 and 1976), respectively. Conclusion: This update is relevant and highly needed after the introduction of the latest series of the base year in 2020, without which the income ranges would have been overestimated if calculated with the previous series (Base year 2001 = 100).
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REVIEW ARTICLES Top

Achar Rasayana and its clinical importance in the present scenario p. 27
Hari Krishna Shriwas, LC Harzpal, Rupendra Chandrakar
DOI:10.4103/dypj.DYPJ_4_21  
Ayurveda emphasizes on prevention rather than cure and for this purpose, Achar Rasayan has been described like other preventive health measures, for example, Ritucharya, Swasthwritta, etc. Physical, mental, social, and spiritual aspects of our life have been explained in Achar Rasayan providing a ho-listic approach to a person and thereafter, formation of a peaceful and developed society. Unlike the dichotomous nature of modern medicine, Ayurveda always follows a holistic approach. Preventive and social medicine, which is presently known as commu-nity medicine is a specialized branch of modern medicine. The WHO also emphasizes to promote this branch because, this is con-cerned with the whole society, not just with a person. The utility of Achar Rasayan is increased in the present society suffering from sex and violence, greed and anger, etc.
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CASE REPORTS Top

Bilateral facial palsy in cerebral venous sinus thrombosis – An uncommon association p. 33
Ajit Prasad Mishra, AK Mallick, SD Nayak, LK Sahoo
DOI:10.4103/dypj.DYPJ_1_20  
Background: Cranial nerve palsy in cerebral venous sinus thrombosis (CVST) is not a very common presentation, its pathophysiology is not well understood. Case Description: We report a 27 year old young man with CVST having protein-S deficiency & hyperhomocystinemia, who during his initial days of hospitalization developed bilateral facial palsy. With conservative treatment of CVST, complete recovery of facial palsy occurred with recanalization of transverse sinus. Conclusions: Facial palsy in this patient was probably caused by transient neurapraxia in the intracranial segment of the nerve. It may be hypothesised that elevated venous transmural pressure in the nerve’s satellite vein, which belongs to the affected drainage territory of the transverse sinus, might have caused venous blood-brain barrier dysfunction in the intrinsic vascular system of the nerve, with leakage of fluids and ions into the endoneurial space and thus an increase in interstitial resistance causing conduction defects.
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CASE REPORTS Top

Fungal laryngitis p. 36
M Ujval, Vikas Sharma, Shamim S Fatima, Vidhu Dhar Dangwal, Shantha Nitin
DOI:10.4103/dypj.DYPJ_3_21  
Fungal laryngitis is a rare clinical entity in an immunocompetent patient. This case report describes the case of a 50-year-old singer who presented with hoarseness. The patient underwent microlaryngoscopy with excision of cyst. Primary laryngeal lesion with no tissue invasion, no systemic fungal manifestations immunocompetent state of the patient and a good response to surgery is characteristic of fungal laryngitis.
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LETTER TO EDITOR Top

E-learning in medical education during COVID era p. 39
Gunvanti Rathod, Pragnesh Parmar
DOI:10.4103/dypj.DYPJ_19_21  
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