Chettinad Health City Medical Journal (E-2278-2044 & P-2277-8845)

Governance of AI Writing Tools: A New Priority for Medical Journals

Raja D — 2026-01-05

Generative artificial intelligence (AI) - large language models (LLMs) and related tools- has rapidly moved from novelty to ubiquity in academic writing. In less than three years these systems have begun to assist manuscript drafting, editing, literature summarisation and even figure generation. Their speed and fluency promise to lower barriers to publication, improve clarity for non-native English speakers, and accelerate dissemination. At the same time, unchecked use of these tools threatens core principles of scholarly communication:
accountability, accuracy, reproducibility and trust. Medical journals now stand at a crossroads: adopt and govern AI to preserve integrity and accessibility, or risk erosion of the scientific record by inconsistent,
opaque practices.1-5

A Cross-Sectional Study of factors associated with Health Seeking Behaviour of street vendors in selected areas of Hyderabad Telangana State

Pathloth Anusha Pathloth Anusha — 2026-01-05

The nation’s health status and inhabitants are connected with health-seeking behaviours (HSB). However, knowledge of health-seeking behaviours among the vulnerable population is either lacking or negligible. This study is to assess street vendors’ health-seeking behaviour and determine the factors associated with it. The simple random sampling method and Pre-tested structured questionnaires were used in this study. This is a quantitative cross-sectional study carried out among street vendors in the selected areas of Hyderabad,
Telangana state. A descriptive analysis was performed, and the data was analysed using inferential statistics to find the association between various socio-demographic factors and health-seeking behaviour
among street vendors. In this study, a total of 200 respondents were interviewed, out of which only 194 were interviewed, whereas 6 were non-respondents. More than 40% are illiterate, and 79% were already suffering from chronic illnesses like hypertension and diabetes. These results suggest the importance of understanding the association between health seeking behaviours and associated factors—intervention efforts aimed at improving the health education of street vendors and street vendors should get health education about the harm caused by their dependency on tobacco, alcohol, and cigarettes. They are aware of chronic health illnesses, but they are not aware of the free health Insurance schemes available from the central and state governments so this information should be disseminated to street vendors.

Effectiveness of the Modified Peyton’s Method inTeaching Acid-Fast Staining for Phase II Indian Medical Graduates

Vignesh Kanna Balaji — 2026-01-05

Introduction: Indian medical graduates are given hands-on training in fundament microbiology techniques, including Gram’sstaining, Ziehl–Neelsen staining, Albert’s staining, and Stool examination. Most of the
colleges follow the traditional ‘see one-do one’ method. An interesting method of teaching which is gaining importance in recent years is Peyton’s method which is designed for a 1:1 student-teacher ratio. This study seeks to assess the effectiveness of the modified Peyton’s method compared to the ‘see one, do one’ approach.
Material and Methods: A study will be conducted with 36 students in the experimental group being taught using a modified Peyton’s method, while a control group of 35 students will be taught using the “see one, do one” method. The faculty will objectively assess the students’ performance as part of the study.
Results: The study group significantly outperformed the control group in acid-fast staining.
Conclusions: This study demonstrates that the modified Peyton’s method is more effective in teaching practical skills to students compared to

How to cite this article:
Balaji V K, Anto P V, Suppiah V N. Effectiveness
of the Modified Peyton’s Method inTeaching
Acid-Fast Staining for Phase II Indian Medical
Graduates. Chettinad Health City Med J.
2025;14(4):11-15.

DOI: https://doi.org/10.24321/2278.2044.202543
the traditional “see one, do one” method. The outcome of this method
is beneficial to both students and teachers, as per feedback provided
by the students and tutors.

Enhancing Knowledge on Assertive Communication: Evaluating the Impact of a Tutelage Program for Staff Nurses in a Selected Hospital, Trichy

Keerthana C — 2026-01-05

Introduction: Assertive communication is a vital interpersonal skill that enables individuals to express their thoughts, feelings, and needs in an open, honest, and respectful way. Unlike passive or aggressive
communication styles, assertiveness fosters mutual respect and understanding, reducing the potential for conflict and promoting healthier relationships both personally and professionally.
AIM: The study aimed to review the outcomes of a tutelage programme designed to increase staff nurses’ knowledge of assertive communication at a selected hospital in Trichy.
Objective: The purpose of the study was to evaluate the knowledge before and after the test levels of staff nurses on assertive communication, to determine the impact of the tutelage programme in enhancing their
knowledge, and to explore the relationship between a few chosen sociodemographic factors and the post-test knowledge.
Research Method: A pre-experimental research design with a single group, utilising both pre-test and post-test assessments, was used. Using non-probability purposive sampling approaches, 40 samples
were chosen. Self-designed knowledge questionnaires were employed to evaluate the level of knowledge before and after the intervention.”
Results: The mean score of the pre-test was 7.7 with a standard deviation of 2.96, while the mean score of the post-test was 23.5 with a standard deviation of 2.77, resulting in a mean difference of 15.8.and standard
error of 0.64, according to the study’s findings. At p<0.05, the t value of 24.6 indicates high significance.
Conclusion: The study concluded that the tutelage programme effectively enhanced the knowledge of staff nurses.

How to cite this article:
Keerthana C, Devi K, Suresh S. Enhancing Knowl
edge on Assertive Communication: Evaluating the
Impact of a Tutelage Program for Staff Nurses in
a Selected Hospital, Trichy. Chettinad Health City
Med J. 2025;14(4):16-26.

DOI: https://doi.org/10.24321/2278.2044.202544

Biosensors in Oral Cancer Detection: A Reliable Technology at the Forefront of Cancer Care- A Narrative Review

B Sreenu — 2026-01-05

The early identification of oral cancer is critical for enhancing treatment effectiveness and improving patient survival rates. Traditional diagnostic methods often rely on invasive procedures, which can lead to patient
discomfort and delayed diagnosis. This limitation underscores the urgent need for non-invasive alternatives that can facilitate timely detection. In response, this study introduces a novel biosensor specifically engineered to detect biomarkers associated with oral cancer using saliva samples. The biosensor employs advanced nanomaterials combined with electrochemical sensing technologies to achieve exceptional sensitivity and specificity. By focusing on saliva, a non-invasive and easily accessible biological fluid, the biosensor aims to provide a convenient screening option for both patients and healthcare providers. Clinical analyses were conducted using saliva samples from individuals diagnosed with oral cancer as well as healthy controls. These
analyses revealed distinct biomarkers that are indicative of malignancy, paving the way for more effective screening protocols. The results of the earlier studies are promising as biosensors demonstrated a sensitivity of 95% and specificity of 92% in distinguishing between cancerous and non-cancerous samples. Furthermore, the biosensor’s portable and user-friendly design enhances its suitability for point-of-care applications, allowing for early screening in diverse healthcare settings, from dental offices to community clinics. Biosensors can significantly transform the routine screening process for oral cancer by enabling non-invasive, rapid detection of biomarkers. The current review analyses the importance of integrating innovative technologies
in cancer diagnostics and highlights the role of biosensors in modern healthcare which can potentially saving lives by improving the quality of care for patients at risk of oral cancer.

How to cite this article:
Sreenu B, Haritha S, Gauthaman J, Ganesan A.
Biosensors in Oral Cancer Detection: A Reliable
Technology at the Forefront of Cancer Care- A
Narrative Review. Chettinad Health City Med J.
2025;14(4):24-30.

DOI: https://doi.org/10.24321/2278.2044.202545

Dietary Interventions in the Prevention and Management of Renal Calculi: A Comprehensive Review

Devangkumar Mahendrakumar Parmar — 2026-01-05

Renal calculus, commonly known as kidney stone, is a solid crystalline mineral material formed within the kidney or urinary tract. This review provides an extensive examination of the role of dietary interventions in the prevention and management of renal calculi. It delves into the mechanisms underlying stone formation, the influence of dietary factors, evidence-based dietary strategies, clinical management, and future research directions. By consolidating current knowledge and highlighting areas for further exploration, this review aims to inform clinical practice and enhance patient care in the management of renal calculi.

How to cite this article:
Parmar D M. Dietary Interventions in the Pre
vention and Management of Renal Calculi: A
Comprehensive Review. Chettinad Health City
Med J. 2025;14(4):32-42.

DOI: https://doi.org/10.24321/2278.2044.202546

Evaluating Criminal Accountability of Artificial Intelligence in Healthcare and Medical Services

Purnima Gautam — 2026-01-05

The integration of Artificial Intelligence (AI) into healthcare and medical services has revolutionized the industry, offering unprecedented advancements in diagnostics, treatment, & patient care. However, this technological progress also introduces significant risks and ethical dilemmas, particularly in terms of accountability when AI systems fail. This research critically examines the criminal accountability of AI in the healthcare sector within the Indian legal framework. It explores the benefits & risks associated with AI in healthcare, evaluates existing laws, & identifies gaps that hinder the effective regulation of AI-related incidents. Through a comparative analysis with international practices, the research highlights the challenges in attributing criminal liability to AI systems and the responsible parties. Ethical considerations and policy recommendations are discussed to advocate for a robust regulatory framework that ensures patient safety, equity, and ethical AI usage. The conclusion emphasizes the need for continuous regulatory updates and interdisciplinary collaboration to balance innovation with accountability in India's healthcare landscape.

How to cite this article:
Gautam P. Evaluating Criminal Accountability
of Artificial Intelligence in Healthcare and
Medical Services. Chettinad Health City Med J.
2025;14(4):43-47.

DOI: https://doi.org/10.24321/2278.2044.202547

The interrelation of Vitamin D deficiency and Thyroid dysfunction among Type 2 Diabetes Mellitus Patients – A REVIEW

Vijayasamundeeswari — 2026-01-05

The review highlights the significant interplay between thyroid dysfunction, vitamin D deficiency, and diabetes mellitus, particularly type 2 diabetes (T2DM). Here are the key points discussed: Prevalence of Conditions: There is a documented increase in the prevalence of thyroid disorders and vitamin D deficiencies among patients with diabetes mellitus. This suggests a common underlying pathology that warrants further investigation.
Impact on Metabolic Control: Untreated thyroid dysfunction and low vitamin D levels (hypovitaminosis D) can impair metabolic control in diabetic patients. This impairment can lead to higher risks of cardiovascular diseases, emphasizing the need for integrated management strategies. Insulin Resistance: Insulin resistance is a critical link between thyroid dysfunction and diabetes. The review suggests that both conditions can exacerbate each other, complicating the overall metabolic health of affected individuals. Need for Systematic Testing: Given the clinical implications of the co occurrence of T2DM and thyroid dysfunction, the review advocates for a more intrinsic approach to thyroid testing in diabetic patients. Consistent monitoring of glycemic control alongside thyroid function and vitamin D status is recommended. Call for Further Research: The review concludes with a call for more research to better understand the relationships between vitamin
D, thyroid dysfunction, and diabetes. This could lead to improved management strategies for patients suffering from these interconnected conditions.

How to cite this article:
Vijayasamundeeswari, Sayanam R R A. The
interrelation of vitamin D deficiency and thyroid
dysfunction among type 2 diabetes mellitus
patients-A REVIEW. Chettinad Health City Med
J. 2025;14(4):48-53.

DOI: https://doi.org/10.24321/2278.2044.202548

Next-Gen Surgery: AI’s Transformative Impact on Oral and Maxillofacial Surgery

A Saneem Ahamed — 2026-01-05

The advent of Artificial Intelligence (AI) is revolutionising the landscape of oral and maxillofacial surgery (OMFS), enhancing diagnostic capabilities, surgical planning, and postoperative care. AI technologies, including
machine learning and deep learning, offer valuable insights that support surgeons in making informed decisions and improving patient outcomes. By analysing complex medical data, AI assists in assessing images
before and after surgical procedures, which helps to reduce patient dissatisfaction, particularly in aesthetic surgeries. This review article aims to explore AI’s transformative potential in OMFS, evaluating recent technological advancements, identifying current challenges, and discussing future prospects. The successful integration of AI within OMFS relies on a synergistic relationship between advanced technology and the nuanced expertise of skilled surgeons, who are essential for high-quality patient care. Continued research is crucial to refine AI algorithms, ensuring they complement rather than replace the critical role of human practitioners in optimising therapeutic outcomes.

How to cite this article:
Ahamed A S, Mubeena, Kumar N D. Next-Gen
Surgery: AI’s Transformative Impact on Oral and
Maxillofacial Surgery. Chettinad Health City Med
J. 2025;14(4):54-59.

DOI: https://doi.org/10.24321/2278.2044.202549

Overview of Peer Assessment as Formative Assessment in Medical Education

Pragadeesh Raja V — 2026-01-05

In Competency-Based Medical Education (CBME), assessment plays a crucial role. It is defined as the systematic collection, review, and use of both qualitative and quantitative data to enhance student learning and development. There are two main types of assessments: summative and formative. Peer assessment involves various activities where students evaluate and provide feedback on their peers’ work. This review article aimed to explore peer assessment in medical education. Articles were sourced from PubMed and Google Scholar, with a focus on studies related to peer assessment published between 2015 and 2024. Initially, 28 relevant studies were identified, but 15 were excluded due to incomplete access or paywalls. The review found that students were concerned about how open and transparent peer assessment might affect their relationships. However,
students showed increased confidence in assessing peer performance from their first to second year. While peer assessment was not found to be reliable for evaluating

Objective Structured Clinical Examination (OSCE) performance, peer assessors felt it was beneficial for their
learning. The insight gained into exam techniques and self-evaluation helped students better understand expectations in clinical settings and develop approaches to self-assessment. Entry-level students tended
to provide more positive feedback compared to senior students. In
conclusion, the article highlights the importance of early training and preparation for students, as well as continuous professional development for faculty members, to ensure effective guidance in the peer assessment process.

How to cite this article:
Raja P V, Lenin D. Overview of peer assessment
as formative assessment in medical education.
Chettinad Health City Med J. 2025;14(4):68-70.

DOI: https://doi.org/10.24321/2278.2044.202552

In Vitro Evaluation Of Anti-Fungal Activity Of Homoeopathic Medicine Hydrocotyle Asiatica: A Homoeopathic Perspective

Sreelakshmi K S — 2026-01-05

Beyond The Norm: Investigating Situs Inversus Totalis

Harshil Gadhiya — 2026-01-05

All internal organs are displaced from their natural anatomical positions in a condition known as Situs Inversus Totalis. In various species of animals, this uncommon congenital disease has been documented. Although
the cause is unknown, it may be related to several cardiopulmonary problems. Patients who are diagnosed with this ailment need to be advised, reassured that they may live a normal life, and encouraged to be prepared to disclose any anatomical abnormality to medical professionals as needed. During the preoperative work-up for surgery, clinicians must be vigilant about this condition. The purpose of this study is to present our results and contribute to the gathering of information on these uncommon illnesses.

How to cite this article:
Gadhiya H, Soni Y, Patel S, Shingala R, Patel D,
Kushal P, Patel D. Beyond The Norm: Investigating
Situs Inversus Totalis. Chettinad Health City Med
J. 2025;14(4):60-62.

DOI: https://doi.org/10.24321/2278.2044.202550