bluuebunny/crossref_metadata_2025_split huggingface dataset:
IJCM_309A: Epidemiological Trends, Clinical Features, and Outcomes in Scrub typhus patients admitted to a tertiary care hospital in Odisha
Authors: Bhowmick Sneha , Mohapatra Ipsa , Panigrahi Kumudini , Das Adrita 
Published: April 2024

Background:
Scrub typhus is an emerging public health threat in South-Asian countries; with the growing number of cases in India, an understanding of local patterns of disease and factors that place individuals at risk is pivotal to future preventive measures.

Objective:
To analyze the epidemiological features- annual number of cases, age distribution, sex distribution, and seasonal distribution over the four years. To find out the clinical profile, laboratory features and outcomes of cases of scrub typhus, and to identify the predictors of disease severity.

Methodology:
A comprehensive retrospective review of scrub typhus cases reported over a 4-year period (2019-2023) was done, with a monthly trend of patients admitted. Data was collected from the case records of patients for demographic characteristics, clinical features, treatment, and outcomes, length of stay (LOS), complications, and mortality. Data was presented in frequencies and proportions, odds ratio (OR) was calculated and a p-value of

Results:
A total of 886 cases were reported over the four-years. There was a declining epidemiological trend in 2020-21 and then an increasing one. Scrub typhus cases exhibited seasonality, with a peak incidence during winter season. Males were more commonly affected (58.01%), and the age group most susceptible was 19-64 years (52.22%), followed by one-month to 18years (32.22%). Clinical presentations typically included fever (96%), eschar formation (8%) and rash (8%). Complications like pneumonia (13.88%) and AKI (11.73%), were observed in a significant proportion of cases. Mortality was reported in 4.40% of cases. Altered sensorium, deranged LFT, hypotension requiring ionotropic support, requirement of ventilatory support predicted poor outcome.

Conclusion:
Scrub typhus was seen to cause a multi-system infection among the studied population, causing significant morbidity and mortality. The conditions found associated with poor outcome and mortality can be used as risk factor predictors and help patient management.
IJCM_317A: The quality of news reports on violence against health workers in India
Authors: George Sylvia , Giri Anjan Kumar 
Published: April 2024

Background:
The Indian Medical Association report from 2015 states that around 75% of doctors had faced violence at the workplace. One of the major contributory factors to such assaults is the public conscience against healthcare workers. An improper understanding of the purpose and functions of emergency care and outpatient facilities also adds to the bitterness. The media, especially online has a great influence over them. Inadequate, unscientific, and very often emotional reporting of medical news will not help the frontline workers in peaceful and resource-effective productivity.

Objective:
To examine the quality of reporting of news articles on violence against health workers in India.

Methodology:
A cross-sectional study to examine the quality of news articles on violence against healthcare workers published online in the past three years based on the guidelines from the Independent Press Standards Organisation, UK and Press Council of India’s Norms 2022. Articles in English, Hindi, and other regional languages that the authors had expertise in were selected. The data was collected using Google Forms and analysed in Google Sheets.

Results:
The majority of the articles did not mention the illness and medical management done, while the chronology of the violent incidents was adequately mentioned. Almost 50% of the articles did not mention any witness interviews. One-third of the articles did not mention the date of incidence. One-fourth of the articles, mostly regional language articles used clickbait keywords in the articles. Most of the articles did not give any follow-up reports on the news.

Conclusion:
There is a huge gap in adequate and unbiased reporting on the incidents of violence against healthcare workers among the online media.
IJCM_324A: Self-Compassion and its Association with Resilience among Senior Nursing Students in Rural Area of Singur, West Bengal
Authors: Siware Narayani , Paul Bobby 
Published: April 2024

Background:
Self-compassion involves showing kindness to oneself during times of suffering. In nursing, students face diverse challenges; resilience helps them to serve compassionate care for the community & to themselves.

Objectives:
To measure the self-compassion and resilience among final year ANM nursing students and to find the association between these two and with other stress factors.

Methodology:
An Institution-based observational study with Mixed Method study (QUAN + qual) design, was conducted from July to December 2023 among final year ANM students of a selected college in rural area of Singur, West Bengal, comprising a Cross-sectional quantitative part and qualitative part conducted through key informant interviews with relevant stakeholders until data saturation is achieved. 190 students participated via census method. Self- compassion and resilience were measured using Neff’s and Connor Davidson’s scales. Quantitative data were analyzed with SPSS 16, while qualitative analysis is ongoing. Ethical approval was obtained from AIIH&PH, Kolkata’s Institutional Ethics Committee.

Results:
The median age of participants was 22 with IQR of (22, 25), 42.8% students belong to middle class according to modified BG Prasad scale, 66.3% students were unmarried. According to the mean score of Neff’s self- compassion scale 27.8% students showed low levels of self-compassion while 43.7% scored moderate self-compassion level. The mean score of resilience was 21.5, where 55.06% students scored less then mean resilience score which shows low resilience among students. We found strong positive correlation between Self compassion and resilience (Spearmann’s rho = 0.738, p = 0.000).

Conclusion:
In demanding professions like nursing, self-compassion and resilience are vital. Embracing self-compassion addresses self-doubt, while resilience facilitates navigating challenges independently, fostering self- healing.
IJCM_33A: Comprehensive Women’s Wellness and Family Welfare Clinic: A Promising Approach for Holistic Healthcare in PGIMER Satellite Sangrur, Punjab
Authors: Jindal Har Ashish , Sharma Bharti , Kaur Navdeep , Upadhyay Nisha , Tailor Pooja 
Published: April 2024

Background:
Women’s health disparities, often rooted in sociocultural discrimination, prompted the establishment of the ‘Women’s Wellness and Family Welfare Clinic.’

Objective:
The objective of this clinic was to address the adolescents and women-related issues, screening, counselling, mental health, diet and nutrition and, family planning services under one roof.

Methodology:
The initiative was launched in September 2023 with collaborative efforts between the Department of Community Medicine & SPH and the Department of Gynaecology and Obstetrics at the PGIMER satellite center in Sangrur, Punjab. The clinic comprehensively, recorded socio-demographic profiles, clinical histories and various health dimensions, including physical parameters, mental well-being, social factors, NCD risks, and family planning. Positive screening results prompted referrals for further evaluation.

Results:
A total of 252 participants underwent screening, of whom 98 (38.9%) were aged 30-39, 32 (12.7%) were planning pregnancy, and 146 (57.6%) were using contraception, with tubal ligation being a prevalent choice 64 (43.4%). Beyond gynaecological concerns, participants reported chronic lower backache (59; 23.4%) and numbness of hands or feet (56; 22.2%) as common symptoms. More than one-third, 96 (39.09%), were found to be at risk for non-communicable diseases (NCDs), with 19 (7.5%) having hypertension, 10 (3.9%) with pre- diabetes/diabetes, and 5 (2%) presenting with breast lumps. Visual Inspection with Acetic Acid (VIA) revealed a 1.2% positivity rate among 117 participants. However, 161 (63%) participants had a BMI over 25, and 121 (48%) consumed fried snacks daily. Domestic abuse was reported by a mere 2 (0.4%) participants, shedding light on the clinic’s potential role in uncovering hidden health issues.

Conclusion:
The success of this initiative underscores the feasibility of the model wellness clinic in an evolving phase of satellite centre. By offering comprehensive health assessments and facilitating timely referrals, the clinic stands as a promising approach to enhance early detection and treatment, contributing to the holistic well-being of women.
IJCM_336A: Academic burnout and coping: A questionnaire based cross-sectional study among undergraduate students of a medical college in western Uttar Pradesh
Authors: Batra Shubhali , Bano Tanveer , Jain Seema , Singh Ganesh , Kumar Sanjeev , Gautam Neelam S 
Published: April 2024

Background:
Academic burnout is a significant concern in undergraduate medical students due to the demanding nature of their coursework, clinical responsibilities, and the pressure to excel in their studies. Medical students, in particular, are believed to be more stressed and burnt out than their non-medical peers. Academic burnout can affect medical students academic performance and psychological well-being. Coping strategies are essential for students to manage stress and attempts are being made to control and mitigate the same.

Objective:
1) To assess the prevalence of academic burnout among undergraduate medical students; 2) To find out coping mechanisms adopted by the students.

Methodology:
This is a cross-sectional anonymous survey, medical students were recruited from four professional MBBS groups. Based on prevailing prevalence of burnout (16.84%), sample size calculation was done, which came out to be 216; which was rounded off to 220. The 220 completed questionnaires were collected and included in analysis. The Maslach Burnout Inventory-Student Survey (MBI-SS) and Brief COPE questionnaire were used. Sociodemographic profile was assessed by semi-structured proforma.

Results:
High emotional exhaustion was present in nearly 35% of the students while low professional efficacy over 65% of them reported. However, majority of them practiced active coping. The data is still being analysed for final findings.

Conclusion:
As concluded, majority of the students reported high academic burnout and low professional efficacy. For coping, most of them adapted active coping while substance use was less commonly used.
IJCM_337A: Prevalence Of Social Anxiety Disorder Among Adolescents In Ernakulam District, Kerala
Authors: Moidu Mufeeda , Mohandas Sreelakshmi 
Published: April 2024

Background:
Social anxiety disorder (SAD), a prevalent form of anxiety disorder is a chronic, disabling and treatable one with common onset in adolescence. Individuals experiencing SAD exhibit symptoms of anxiety or fear in circumstances where they could face scrutiny, evaluation, or judgment from others.

Objective:
The primary objective of the study was to determine the prevalence of SAD among adolescents in Ernakulam district, Kerala. The secondary objectives were to compare the prevalence of SAD among urban and rural adolescents and to determine the factors associated with SAD among adolescents in Ernakulam district, Kerala.

Methodology:
School based cross-sectional study was done among 474 students from schools of Ernakulam district, Kerala. Students were enrolled using multi-stage sampling method. A semi structured questionnaire consisting of sociodemographic details and Social Phobia Inventory (SPIN) was administered to the participants by face-to-face interview after attaining the necessary assent and consent.

Results:
The overall prevalence of SAD among the study participants was 19.6% with the prevalence of SAD among the urban and rural students being 17.6% and 22.9% respectively. Having to give speeches was the most common phobia in majority (40.9%) of participants. Female sex [aOR=2.02(1.26-3.21); p=0.003] was found to be a determinant of SAD in the study population. Age, type of family, number of family members, place of residency were not statistically associated with SAD in this study

Conclusion:
The current study showed that 1/5th of the study population had social anxiety disorder. With appropriate intervention through health education and psychotherapy, its progression can be effectively impeded.
IJCM_339A: Risk Factors for Spontaneous Intracerebral Haemorrhage in Tertiary Care Hospitals of Mangalore: A Case Control Study
Authors: Mithra Ratnav Singh. Prasanna , Unnikrishnan Bhaskaran , Rekha T , Kumar Nithin , Shankar Siddharth , Shetty Manish , Mendonca Jane , Harwal Ritesh 
Published: April 2024

Background:
Intracerebral haemorrhage (ICH) is the rupture of an intra- parenchymal vessel resulting in haemorrhage within the brain, often associated with stroke. The study was done to determine the association of intracerebral haemorrhage with duration of hypertension and other lifestyle factors among the adult patients. The study also includes association of the volume of ICH and its determinants related to hypertension.

Methodology:
A Record based Case Control study with cases involving the patient with ICH admitted to study hospital between January 1st 2014 and 31st December 2015 and control involving age and sex matched patients admitted during the study period.

Results:
Of the 118 patients, 41 cases (69.5%) and 12 controls (20.3%) had hypertension, with odds ratio 8.93. 40% of cases were suffering from hypertension for 5 years. 18.6% of ICH patients gave history of tobacco consumption and 30.5% gave history of alcohol consumption. 57.2% and 60% of ICH patients consumed tobacco and alcohol for more than 10 years respectively. Mean volume of intracerebral bleed in patients with hypertension is 12.4ml and without hypertension is 3.45ml. 23 patients had systolic BP more than 140mm of Hg and an average bleed of 10.33ml.

Conclusion:
ICH is the second commonest type of stroke, ischemic being the first one. Hypertension is the risk factor for ICH. Volume of bleed was higher among the patient who were hypertensive for longer duration and who had increased systolic BP.
IJCM_34A: Usage of complementary / alternative medicine (CAM) and perception towards it among cancer patients admitted in tertiary care hospitals
Authors: Pai Gagan A , Lobo Aaron Rolf , Biradar Basavaraj , Kapoor Harshith , Diggi Manjunath , Holla Ramesh , Unnikrishnan Bhaskaran , Rekha T , Motappa Rohith , Rao Mithun 
Published: April 2024

Background:
Cancer being a deadly disease, cancer victims face great challenges with respect to their routines, roles and relationships. The usage of other means to cure illness is called complementary and alternative medicine or CAM. This study is done to determine the proportion and usage pattern of CAM for cancer treatment and to assess the perception towards CAM among cancer patients.

Methodologys:
It was a Descriptive cross-sectional study, carried out among cancer patients admitted to tertiary care hospitals attached to a medical college. The interview schedule was prepared which consists of four sections including the socio-demographic details, details about the diagnosis and treatment of cancer among the study participants, details about the usage pattern of Complementary medicine, and the perception of cancer victims towards Complementary medicine for cancer treatment. Data will be entered and analyzed by using the statistical software Statistical Package for Social Sciences (SPSS) Version 11.5.

Results:
Out of 105 participants majority of cancer patients,74 (70%) of them were of the age group between 40- 70 years. 65% of the patients had addictions among which 60 (90.9%) were addicts for more than 10 years. The majority of the patients underwent radiotherapy 85 (81.0%), followed by Chemotherapy 72 (68.6%), The number of patients that have used CAM in our study was found to be 12 (11.4%). Many of them chose Ayurveda as their type of CAM 5 (41.7%) followed by home remedies usage 4 (25%). 39 (38.5%) believe that there should be more evidence that CAM works while 38 (33.8%) don’t need any evidence about it. 45 (42.9%) feel that CAM treatment does not work in the treatment of cancer while 35 (33.3%) remained neutral in this aspect. 85 (81.0%) are satisfied with present cancer treatment. 78 (74.3%) agreed that Modern medicine is most effective for treatment of cancer.

Conclusion:
The usage of CAM in our study was found to be minimal. The majority of the participants are satisfied with modern medicine and most of the patients are satisfied with allopathic treatment.
IJCM_347A: The relation of Academic motivation with academic stress, self-efficacy and social support among the Paramedical students of tertiary health centre of Uttarakhand- Cross sectional study
Authors: Adhikari Ritu , Singh Surendra , Bartwal Janki , Rawat CMS 
Published: April 2024

Background:
Students experiencing academic stress undergo mental distress in anticipation of academic challenges and academic failure, which eventually impacts their studies, interpersonal relationships, and overall well-being therefore academic motivation is essential to continue their studies.

Objective:
I. To assess the Sociodemographic profile of paramedical students. II. To find correlation between the academic motivation, academic stress, self-efficacy, social support of paramedical students.

Methodology:
A cross sectional study was conducted over period of 3months after complete enumeration of Paramedical students of Veer Chandra Singh Garhwali Government Institute Of Medical Science & Research, Uttarakhand. Prestructured validated questionnaire of Academic Motivation Scale (ASM- C28) with Cronbachs alpha 0.92, General Self - Efficacy Scale(GSE) with Cronbachs alpha 0.9, Multidimensional Scale of Perceived Social Support(MSPSS) with Cronbachs alpha 0.9 in addition to adapted questions of academic stress was used.

Results:
46% of students agree that college education helps them prepare a better career.58% of students feels academic stress while studying

Conclusion:
Most of the students are academically motivated.
IJCM_354A: Mental health screening of workers of a tertiary care neuropsychiatry hospital of Delhi
Authors: Khurana Sarbjeet , Sadija Jagdish , Kumari Sushma , Gotewal Sangeeta , Sinha Uday Kumar , Singh Ravinder , Dhamija Rajinder Kumar 
Published: April 2024

Background:
Employee mental health has a significant impact on productivity at work. People who work in healthcare environments are known to be at an increased risk of developing mental health issues.

Objective:
To assess the psychological distress in housekeeping and sanitation workers of IHBAS hospital

Methodology:
A cross-sectional study was conducted on the housekeeping and sanitation workers of the IHBAS hospital, a tertiary care Neuropsychiatry hospital and Institute. The socio-demographic data of the workers was collected. Kessler Psychological Distress scale (K10) and the Depression Anxiety Stress Scale -21 (DASS-21) were used to assess psychological distress, depression, anxiety, and stress among workers. The data was entered and analysed in SPSS 21.

Results:
A total of 598 workers were screened, of which 50.7% were males and 49.3% were females .63.5% of the workers were in the age group of 31 to 50 years,24.4% were between 18-30 years of age and 12% were more than 50 years of age. The output of K10 scale for psychological distress showed that only 0.2% were likely to have a mild disorder. The analysis of DASS-21 yielded on depression subscale that 0.5% had mild depression, and 0.2% each had moderate and extremely severe depression. On the anxiety subscale, 0.5% had moderate anxiety, 0.2% each had mild and extremely severe anxiety and stress subscale yielded that 0.5% had mild stress, and 0.2% had moderate stress

Conclusion:
Even though the percentage of workers with mental health problems was very low based on screening with K10 and DASSS-21, it is still worthwhile to screen for and appropriately address mental health issues among hospital employees as part of the occupational health program
IJCM_358A: A Study of Adversity Quotient, Emotional Quotient and Spiritual Quotient among Medical Undergraduates in Nanded District of Maharashtra
Authors: Sinekha Perlin P , Inamdar IF , Gadekar RD 
Published: April 2024

Background:
Medical Education deals with vast curriculum, human interactions and huge amount of stress. The changing scenario in medical education with introduction of CBME pattern, just having high Cognitive Intelligence is not enough to achieve academic success. With increasing stress in medical education and uncertainties like Covid-19, it is high time we think beyond Intelligence quotient for professional success. Adversity Quotient (AQ) is a measure of a person’s ability to cope with and overcome adversity. Emotional Quotient (EQ) measures person’s ability to identify and manage their own emotions as well as emotions of others. Spiritual Quotient (SQ) correlates to a person’s awareness and consciousness.

Objectives:
This study aims to assess AQ, EQ and SQ among Medical Undergraduate students and correlation between them.

Methodology:
A cross sectional study was conducted from November 2022 to October 2023 on 466 Medical Undergraduate students in Dr Shankarrao Chavan Government Medical college, Nanded, Maharashtra. Data was collected using predesigned, pretested, semi structured e-questionnaire. Data was compiled in MS Excel and analyzed using SPSS.

Results:
The participants included 262 males and 204 females. The mean AQ, EQ and SQ were 144.28, 329.81 and 57.14 respectively. The study showed high positive correlation between AQ and SQ (r=0.807; p= 0.000), AQ and EQ (r= 0.760; p= 0.000) and EQ and SQ (r= 0.871; p= 0.000) and correlation was significant at 0.01 level (2 tailed).

Conclusion:
This study concludes high positive correlation between AQ and SQ, AQ and EQ, EQ and SQ. Exploring these quotients helps students become more resilient and better prepared to cope up with the curriculum.