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

From Numbers to Narratives: Understanding Quality of Life in Type 2 Diabetes

Raja D — Sat, 30 Dec 2023 00:00:00 +0000

How to cite this article:
Raja D. From Numbers to Narratives: Understanding
Quality of Life in Type 2 Diabetes. Chettinad
Health City Med J. 2023;12(4):1-2.

DOI: https://doi.org/10.24321/2278.2044.202363

A Semiparametric Mixture Cure Rate Model for Tuberculosis Data

B Vijai , PR Jayashree, C Ponnuraja — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: One of the essential questions in health research is a
patient’s survival. The two primary families of the cure models are the
mixture cure model and the promotion time cure model. A mixture
cure model is a type of survival theory that considers that there are
both susceptible and non-susceptible people in the population under
study, but they will never be exposed to the relevant event.
Methods: A total of 1236 patients with pulmonary tuberculosis were
included in this work, and time to sputum culture conversion was
the event of interest. A major comparison was done between the
failure time distribution and cure probability models for treatment,
gender, weight, drug susceptibility test, and age between adjusted and
unadjusted versions. The R studio version 1.1.447 statistical software
was used for all kinds of statistical analyses.
Results: Models with two different aspects were compared. The
outcomes of Mixture Cure Models (MCM) and Promotion Time Cure
Models (PTCM) were significant, as expected. Estimates for the cure
probability model perform better under MCM than those for the failure
time distribution model. The MCM’s performance has a significant
impact on how well the cure fraction is estimated. It additionally
supports determining the variables that influence the time to sputum
conversion.
Conclusions: Only the MCM model can distinguish between a treatment’s
impact on an event’s timing and occurrence. It was seen that firstly, the
results of the cure probability model appeared differently in relation
to those of the pure MCM’s failure time distribution model; secondly,
the results of the comparison between MCMs and PTCMs are more
favourable.

How to cite this article:
Vijai B, Jayashree PR, Ponnuraja C. A
Semiparametric Mixture Cure Rate Model for
Tuberculosis Data. Chettinad Health City Med J.
2023;12(4):3-11.

DOI: https://doi.org/10.24321/2278.2044.202364

Antimicrobial Resistance: A Qualitative Exploration of Perceptions of Medical Professionals

Sangeetha S, Prabakaran J, Swarna Latha P, Sanjana Arunthathi B, Sushma — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Antimicrobial resistance (AMR) presents a critical global
health concern, jeopardising the efficacy of treatments against various
microorganisms. Its impact on healthcare and the projected increase
in deaths due to antibiotic-resistant infections underscore the urgency
for preventive strategies.
Methods: A qualitative study conducted in a medical college and
hospital involved faculty members and postgraduates in focused group
discussions (FGDs). The discussion was conducted under 10 themes,
transcribed, and analysed.
Results: Ten participants from diverse medical specialities engaged in
the FGDs, revealing insights into the causes, effects, and prevention of
AMR. Responses emphasised injudicious antibiotic use, lack of proper
policies, and the emergence of resistant organisms. Concerns included
specific antibiotics losing efficacy and the impact on patient outcomes
and healthcare expenses.
Conclusion: Tackling AMR demands collective and sustained action
involving governments, healthcare professionals, researchers, and public
engagement. This study highlights the urgency to deal with antimicrobial
resistance comprehensively and collaboratively to safeguard the efficacy
of antimicrobial treatments and ensure global well-being.

How to cite this article:
Sangeetha S, Prabakaran J, Swarna LP, Sanjana
AB, Sushma. Antimicrobial Resistance: A
Qualitative Exploration of Perceptions of Medical
Professionals. Chettinad Health City Med J.
2023;12(4):12-17.

DOI: https://doi.org/10.24321/2278.2044.202365

Assessment and Evaluation of Online Learning among College Students in South Chennai

Christeffi Mabel R, Jagannatha GV, Indra Gopi, D Charumathi — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: When the world was encountering a pandemic caused by
the novel coronavirus, the majority of the countries in the world were
under lockdown. Schools and universities were closed and e-learning
mode was opted for. Online classes were implemented for all age groups.
This study aimed to understand the learning methodology, concentration
and memory of the students, and the learning environment of the
online and offline classes attended by the students, and to identify
which mode of learning was better and more effective.
Methods: Four hundred students from various colleges in the southern
part of Chennai were included in the study. Participants were asked to fill
out a questionnaire which had three headings and contained 10 questions
under each heading, sent to them as a Google Form. The results of the
study were statistically analysed using the SPSS software version 25.0.
Results: It was statistically proven that 59.3% of the students felt more
confident in presenting seminars online as compared to the offline mode
and 54.1% of the students felt stressed about attending online classes,
whereas only 20.8% of the students were stressed with offline classes.
Conclusion: The study revealed that a blended learning approach
involving online and offline modes of education was effective and
preferred by the students.

How to cite this article:
Mabel RC, Jagannatha GV, Gopi I, Charumathi D.
Assessment and Evaluation of Online Learning
among College Students in South Chennai.
Chettinad Health City Med J. 2023;12(4):18-22.

DOI: https://doi.org/10.24321/2278.2044.202366

Comparative Evaluation of Microbial Flora of Dental Unit Water Lines Supplied with Distilled Water and Ozone Water in a Dental Operatory

Sat, 30 Dec 2023 00:00:00 +0000

Comparison of Low-intensity Aerobic Exercise with Assisted Bicycle Exercise on Quality of Life and Lung Function in Duchenne Muscular Dystrophy

Sat, 30 Dec 2023 00:00:00 +0000

Background: Duchenne muscular dystrophy (DMD) is a genetic disorder that affects males worldwide. Low-intensity aerobic exercises have been proven effective for older populations and may offer potential benefits for individuals with DMD.
Objectives: This study assessed low-intensity aerobic exercises and compared their effects with those of assisted bicycle exercises on the quality of life and lung functions of individuals with DMD.
Methods: A quasi-experimental study was conducted which involved 38 DMD children divided into two groups. Group I consisted of 19 children who received low-intensity aerobic exercises, while Group II, underwent assisted bicycle exercises. Both groups received a 60-minute exercise regimen and performed deep diaphragmatic breathing exercises for 10 minutes. A home programme was provided to ensure the continuity of the exercises. The study duration was ten weeks.
Results: The results showed significantly improved quality of life and lung function for both groups. The student t test values for DMD QoL, FEV1, FVC, and FEV1/VC were 8.22 (p < 0.001), 6.12 (p < 0.001), 11.28 (p < 0.001), and 9.12 (p < 0.001), respectively.
Conclusion: This study demonstrated that low-intensity aerobic exercises and assisted bicycle training can improve the quality of life as well as lung functions in individuals with DMD. Moreover, low-intensity aerobic exercises showed greater improvements compared to assisted bicycle exercises.
How to cite this article:
Anandan D, Anandh V, Arunachalam R, Vasanthi RK, Daniel RS, Shanthidevi M,Arun B. Comparison of Low-intensity Aerobic Exercise with Assisted Bicycle Exercise on Quality of Life and Lung Function in Duchenne Muscular Dystrophy. Chettinad Health City Med J. 2023;12(4):31-36.

DOI: https://doi.org/10.24321/2278.2044.202368

Effectiveness of Structured Teaching Programme on Knowledge Regarding Non-scalpel Vasectomy among Accredited Social Health Activists in a Selected Area of Delhi

Seema Rani, Suchhanda Bhattacharya, Arushi Negi — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Family planning is a way of thinking and voluntarily
expanding the family by the couple. There are many ways to adopt
family planning. Vasectomy with no scalpel is one such preferred
way as it results in lesser bleeding and a speedy recovery. Awareness
about contraceptive methods such as sterilisation of males and related
information is provided by the Accredited Social Health Activists (ASHAs)
in India.
Methodology: The study assessed the effectiveness of a structured
teaching programme on knowledge regarding non-scalpel vasectomy
(NSV) among ASHAs working under the South Delhi Municipal
Corporation, Delhi. Quantitative research design was undertaken for
the study. Purposive sampling was used to select 30 subjects. A selfstructured
questionnaire was prepared to assess the knowledge of
ASHA workers. Descriptive and inferential statistics were employed
to analyse the data.
Result: ASHAs belonged to the age group of 28–50 years with an average
age of 39.4 years. All the subjects had been working in the community
for more than five years. Most of the ASHAs were educated up to the
10th class. The mean knowledge scores of the pre-test and post-test
were 5.8 and 7.4 respectively. The post-test scores were statistically
higher than the pre-test scores. There was no significant association
between age, education and experience with the pre-test scores.
Conclusion: The ASHA workers lacked knowledge regarding NSV
and being important healthcare workers. They should be educated
periodically about family planning methods including NSV. The
structured teaching programme proved to be effective in enhancing
their knowledge in this study.

How to cite this article:
Rani S, Bhattacharya S, Negi A. Effectiveness of
Structured Teaching Programme on Knowledge
Regarding Non-scalpel Vasectomy among
Accredited Social Health Activists in a Selected
Area of Delhi. Chettinad Health City Med J.
2023;12(4):37-41.

DOI: https://doi.org/10.24321/2278.2044.202369

Effectiveness of Thoracic Mobility Exercises and Chest Proprioceptive Neuromuscular Facilitation Technique on Pulmonary Function in Postoperative Breast Cancer Patients: A Randomised Controlled Trial

Sat, 30 Dec 2023 00:00:00 +0000

Background: The most prevalent form of cancer is breast
cancer. Its treatment options have some early and late consequences which
include respiratory disorders, reduced chest mobility, and decreased muscle
strength. Exercises for thoracic mobility include deep breathing and active
movements of the trunk and extremities. This article’s objective was to
ascertain the effectiveness of thoracic mobility exercise and chest
Proprioceptive Neuromuscular Facilitation (PNF) technique on respiratory
function in postoperative breast cancer patients.
Method: This was a randomised controlled trial. The participants (n =
34) were divided into two groups, Group A was the Conventional group
and Group B was the Control group. Subjects in Group A performed
thoracic mobility exercises along with breathing exercises and subjects
in Group B performed chest PNF technique along with breathing
exercises for four weeks. All patients were assessed with thoracic
expansion measurements and pulmonary function tests before and
after the treatment.
Results: After a 4-week rehabilitation programme, statistically significant
variations were seen in spirometry parameters such as forced vital
capacity (FVC) and forced expiratory volume in 1 second (FEV1).
Evaluation of the patient’s thoracic expansion revealed significant
differences between the groups, according to statistics.
Conclusion: A regular rehabilitation programme for postoperative breast
cancer patients along with additional therapeutic techniques such as
chest PNF had a positive impact on pulmonary function.

How to cite this article:
Kadam KS, Rayjade A, Warude T, Jagtap V, Jadhav
A. Effectiveness of Thoracic Mobility Exercises
and Chest Proprioceptive Neuromuscular
Facilitation Technique on Pulmonary Function
in Postoperative Breast Cancer Patients: A
Randomised Controlled Trial. Chettinad Health
City Med J. 2023;12(4):42-46.

DOI: https://doi.org/10.24321/2278.2044.202370

Effectiveness of Trunk Control and Scapular Stabilisation Exercises among IT Professionals with Forward Head Posture

Heemali M Gandhi, Trupti Yadav — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: As technology advances, the use of computers will further rise to lead to many musculoskeletal problems. Prolonged sitting at work or improper posture of the head during work may lead to forward head posture (FHP) among office employees, particularly among information technology (IT) professionals.
Aim: This study aimed to determine the effectiveness of trunk control and scapular stabilisation exercises as compared to scapular stabilisation exercises alone in increasing the endurance of cervical muscles and the craniovertebral angle (CVA) of IT professionals with FHP.
Materials and Methods: The study included 34 IT professionals with FHP between the ages of 25 and 35 years. Patients who fulfilled the study criteria were recruited and assessed for CVA and endurance test time for cervical muscles. The subjects were divided into two groups for the intervention (Group A and Group B). Group A performed scapular stabilisation exercises and Group B performed trunk control and scapular stabilisation exercises. The participants were re-assessed to obtain the data.
Result: The results of the study showed that both interventions led to a significant reduction in FHP. However, Group B showed a significantly greater reduction in FHP than Group A.
Conclusion: The study concluded that trunk control and scapular stabilisation exercises constitute an effective intervention for FHP. The intervention had a positive effect on neck alignment by increasing the CVA and endurance of cervical muscles.

How to cite this article:
Gandhi HM, Yadav T. Effectiveness of Trunk Control and Scapular Stabilisation Exercises among IT Professionals with Forward Head Posture. Chettinad Health City Med J. 2023;12(4):47-52.

DOI: https://doi.org/10.24321/2278.2044.202371

Evaluation of the Antibacterial Activity of Eucalyptus Globulus 3C and 6C against Uropathogens

Maalolan S, Priyashree R, Sisir PR, Chandraja CV, Gopukumar ST — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Infections of the urinary tract are one of the most
frequently encountered problems reported in outpatient settings. In
the majority of the instances, clinicians initiate empirical antimicrobial
therapy before the laboratory results of urine culture are available.
This happens to be one of the most prominent causes of resistance to
antibiotics in diverse uropathogens. These microbes can cause a new
form of infectious disease because of this drug resistance and may
become more resistant because of mutation after some time.
Methods: The purpose of this study was to assess the antimicrobial
properties of Eucalyptus globulus 3C and 6C directed at typical bacterial
strains of Pseudomonas aeruginosa, Escherichia coli and Proteus
mirabilis. The broth culture of the above organisms was prepared
and colonies were allowed to be formed, following which, the zones
of inhibition and minimum inhibitory concentrations were determined
across each of the bacterial strains.
Results: In this study, the medicine Eucalyptus globulus 3C and 6C
demonstrated significant antimicrobial properties against Pseudomonas
aeruginosa and Escherichia coli.
Conclusion: In this in vitro study, Eucalyptus globulus 3C and 6C showed
a maximum zone of inhibition of about 9 mm and 12 mm against
Escherichia coli.

How to cite this article:
Maalolan S, Priyashree R, Sisir PR, Chandraja CV,
Gopukumar ST. Evaluation of the Antibacterial
Activity of Eucalyptus Globulus 3C and 6C against
Uropathogens. Chettinad Health City Med J.
2023;12(4):53-57.

DOI: https://doi.org/10.24321/2278.2044.202372

Formulation and Evaluation of a Topical Spraybased Foam Containing Aloe Vera and Silver Sulfadiazine to Treat First and Second-degree Skin Burns

Pratik Vediya, Malaykumar Chotaliya, Abhi Chauhan — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Skin burns of the first and second degrees are frequent
wounds that need quick and efficient care to speed up healing and
avoid complications. For the treatment of severe burns, the goal of
this study was to create a novel topical spray-based foam formulation
incorporating silver sulfadiazine and aloe vera.
Method: The formulation was created to offer improved medication
distribution, increased wound site adhesion, and maximum therapeutic
efficacy. To hasten tissue regeneration and lessen discomfort, aloe
vera, known for its anti-inflammatory and wound-healing capabilities,
was added to the foam. A broad-spectrum antimicrobial drug called
silver sulfadiazine was also added to stop infection, a frequent side
effect of burn wounds.
Results & Conclusion: To create a stable and user-friendly product, the
foam formulation was created utilising a combination of surfactants,
propellants, and polymers.

How to cite this article:
Vediya P, Chotaliya M, Chauhan A. Formulation
and Evaluation of a Topical Spray-based Foam
Containing Aloe Vera and Silver Sulfadiazine
to Treat First- and Second-degree Skin Burns.
Chettinad Health City Med J. 2023;12(4):58-65.

DOI: https://doi.org/10.24321/2278.2044.202373

Instrument for Measuring Perception of Healthcare Service Providers: Development and Validation

Mandeep Kaur, Baljit Singh — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: The accessibility to healthcare services is an absolute
necessity today. The purpose of this article is to create and validate an
instrument for measuring healthcare service providers’ perception which
analyses their level of satisfaction with existing healthcare services’
availability, infrastructure, burden, efficiency of the instruments, and
work environment.
Method: The items were generated from a previous literature review
and were also self-generated by the authors. Content and face validation
were also done by a panel of experts to add/ delete/ modify items
or constructs in the instrument. Statements for the constructs, i.e.
Registration, Diagnosis, Emergency services, Infrastructure, and
Government policies, were presented on a five-point scale.
Results: The instrument’s face validity and content validity met the
necessary criteria. Region-specific suggestions were taken from the
healthcare service providers which would be a significant factor in
improving the healthcare system of the state. It was further developed
and validated in the native language, Punjabi.
Conclusion: The development of this instrument is the first of its kind
to the best of the authors’ knowledge and it consists of all aspects
contributing to the perception of the doctors and nurses about the
healthcare institutions. This instrument would be helpful in determining
the perception of healthcare service providers, i.e., doctors and nursing
staff from different regional areas regarding the healthcare services
and infrastructure availability of the health institutions.

How to cite this article:
Kaur M, Singh B. Instrument for Measuring
Perception of Healthcare Service Providers:
Development and Validation. Chettinad Health
City Med J. 2023;12(4):66-73.

DOI: https://doi.org/10.24321/2278.2044.202374

Knowledge and Practices towards Prevention of Chronic Kidney Disease in Hypertensive Patients

Sidhant Darekar, T Poovishnudevi — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Hypertension is the largest and most common factor
for deaths and diseases in India. One of the serious complications of
hypertension is chronic kidney disease (CKD). Due to its high treatment
costs and poor outcomes, CKD has become a major global health
problem.
Objective: The present study was conducted to improve awareness and
practices that can help prevent CKD in hypertensive patients.
Methodology: A sample size of 200 was calculated. A questionnaire
was formed which included different questions regarding knowledge
and form of practices to prevent CKD. The questionnaire was sent to
the participants. Data were obtained based on the responses of the
participants.
Result: Out of the total 200 participants, 120 (60%) had an average
knowledge of chronic kidney disease with a mean score of 5.04 ± 3.13
and 160 (80%) were doing different forms of prevention practice with
a mean score of 52.47 ± 0.78.
Conclusion: Based on the analysis of the obtained results, this study
concluded that average knowledge was found in more than half of
the population regarding chronic kidney disease. The practice for the
prevention of CKD among participants was found to be good among
most of the participants.

How to cite this article:
Darekar S, Poovishnudevi T. Knowledge and
Practices towards Prevention of Chronic Kidney
Disease in Hypertensive Patients.Chettinad
Health City Med J. 2023;12(4):74-80.

DOI: https://doi.org/10.24321/2278.2044.202375

Mathematical Analysis of Virotherapy Treatment for Cancer

Renuka J, Balaganesan P, Vijayakumar PN — Sat, 30 Dec 2023 00:00:00 +0000

A virotherapy model for cancer has been identified and analysed in this
article. This mathematical model of cancer virotherapy was developed
by Friedman. It was constructed by means of non-linear differential
equations related to “the count of cancer cells, the count of infected
cancer cells, the count of dead cells, and the count of virus cells that
do not belong to tumour cells”. It also includes parameters for the rate
of viral infection of cancer cells, the proliferation rate of cancer cells,
the removal rate of debris of dead cells, the death rate of infected
cancer cells, and the count of virus particles that are not contained
in cancer cells. The Homotopy Perturbation Method was applied to
solve the non-linear differential equations and was analysed both
qualitatively and numerically. The values of the variation in parameters
were evaluated to investigate the impact of controls on the spread of
cancer cells. Through the numerical and graphical results, the optimal
control, which helps to significantly reduce the impact of cancer cells,
has been discussed. A significant agreement is noted with approximate
analytical results and numerical simulations.

How to cite this article:
Renuka J, Balaganesan P, Vijayakumar PN.
Mathematical Analysis of Virotherapy Treatment
for Cancer. Chettinad Health City Med J.
2023;12(4):81-86.

DOI: https://doi.org/10.24321/2278.2044.202376

Prevalence of Knowledge, Attitude & Practice Regarding Menstrual Hygiene in High School Girls: A Cross-sectional Study from Belagavi, Karnataka, India

Pooja Mahajan, Sandeep S Sagare, Girija Sanikop, Arpit Sah — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Menstruation is a biological process exclusive to females. It
is associated with many misconceptions and practices, which sometimes
cause adverse health outcomes. Hence, all aspects of menstruation
need to be understood by adolescent girls. In general, an insufficient
level of awareness, with widespread myths, misconceptions and taboos
about menstruation is harmful to human society.
Method: This cross-sectional study was conducted from June 2019
to November 2019. This study was done among 600 adolescent high
school girls from 12 different high schools (6 rural and 6 urban) in
Belagavi. A set of structured questionnaires was prepared to assess
their knowledge, attitude and practices regarding menstrual hygiene.
Result: The results showed there was no source of information
available for 43.33% (n = 260) of students regarding menstruation
before menarche. The overall percentages for knowledge, attitude, and
practice about menstrual hygiene were 55.69%, 49.66%, and 47.52%
respectively and out of the total, only 38.80% of respondents mentioned
that the urination site and menstruation site are different and 22.60%
did not know the cause of menstruation. During menstruation, 63.83%
of respondents used sanitary pads, whereas 18.50% of girls relied on
old clothes as sanitary aid.
Conclusion: Despite the government running various educational
programmes, high school girls still need health education regarding
menstruation, such as the absorbent material used, disposal of the
absorbent material, hygiene followed during the menstrual period etc.

How to cite this article:
Mahajan P, Sagare SS, Sanikop G, Sah A.
Prevalence of Knowledge, Attitude & Practice
regarding Menstrual Hygiene in High School
Girls: A Cross-sectional Study from Belagavi City,
Karnataka, India. Chettinad Health City Med J.
2023;12(4):87-95.

DOI: https://doi.org/10.24321/2278.2044.202377

Prevention of Ventilator-associated Pneumonia: Knowledge and Practice of Ventilator Care Bundle among ICU Nurses of Tertiary Care Hospitals of Jodhpur, Rajasthan

Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Hospital-acquired pneumonia, particularly ventilatorassociated
pneumonia (VAP), is a major public health concern in
Asia. ICU nurses play a crucial role in preventing VAP and need to be
knowledgeable about evidence-based practices to improve patient
outcomes. Understanding nurses’ knowledge and practices is vital for
enhancing their adherence to VAP prevention guidelines.
Methods: The study used a descriptive cross-sectional design and
was carried out in various ICUs of a tertiary care hospital in Jodhpur.
A total of 120 ICU nurses were enrolled in the study. A structured
questionnaire was used to evaluate the knowledge and practice of
nurses related to VAP prevention. The data were analysed using the
SPSS software. Descriptive statistics and chi-square tests were used
for inferential analysis.
Results: The study found that 60% of the nurses had moderately adequate
knowledge about VAP prophylaxis. As for the practice scores, 67% of
nurses had moderately good practice related to VAP prevention. A
positive correlation was observed between knowledge and practice
scores. However, there was no significant association of practice and
knowledge scores with age, gender, or professional qualification.
Conclusion: The study concluded that the ICU nurses’ knowledge as
well as practice regarding VAP prevention were above average. The
result of the study highlights the need for continuous education as
well as training programmes to enhance nurses’ knowledge as well as
adherence to evidence-based VAP prevention guidelines.

How to cite this article:
Singh R, Sharma Y, Manmohan, Sharma M,
Ramawat Y. Prevention of Ventilator-associated
Pneumonia: Knowledge and Practice of Ventilator
Care Bundle among ICU Nurses of Tertiary Care
Hospitals of Jodhpur, Rajasthan. Chettinad Health
City Med J. 2023;12(4):96-102.

DOI: https://doi.org/10.24321/2278.2044.202378

Inculcation of Yoga as a Self-care Practice for Improving Mental Health among Healthcare Professionals in a Hospital Setting: Addressing through Metacognition

Narottam Kumar, Udham Singh — Sat, 30 Dec 2023 00:00:00 +0000

Factually speaking, most healthcare professionals suffer from stress
burnout. Burnout is a state wherein one experiences work stress, which
along with a heavy workload, leads to poor metacognition and mental
health. Yoga acts as a well-known mind-body intervention which touches
a deeper layer of the mind and purifies thoughts and emotions that
may lead to better health. This article suggests evidence-based yoga
practices which can be self-administered to improve metacognition and
mental health. The detailed instructions regarding yoga practices can
be referred to using resources mentioned in the article. Yoga exercises
can be performed quite easily at the desk during breaks, session gaps,
and brief time gaps. Though healthcare professionals can perform yoga
exercises during office breaks at the workplace in a chair, the article
recommends that they should practice yoga exercises in their homes
on yoga mats. These practices will keep them fresh, aware, happy,
energised and revitalised throughout the day as these practices result
in the release of endorphins i.e., feel-good chemicals in the human
brain. Yoga practice also improves metacognition, creating a coping
ability to fight against work stress. Based on the findings, the article
suggests inculcating yoga as a self-care practice for improving mental
health among healthcare professionals in clinical settings.

How to cite this article:
Kumar N, Singh U. Inculcation of Yoga as a Selfcare
Practice for Improving Mental Health among
Healthcare Professionals in a Hospital Setting:
Addressing through Metacognition. Chettinad
Health City Med J. 2023;12(4):103-109.

DOI: https://doi.org/10.24321/2278.2044.202379

A Case Study on Koch’s Spine

Harshil Gadhiya, Divy H Bhimani, Kushal Parekh — Sat, 30 Dec 2023 00:00:00 +0000

A majority of persistent spinal infections (88%) are caused by spinal tuberculosis, commonly known as Koch’s spine and tuberculous vertebral osteomyelitis. It can happen at any level of the spine, despite the fact that the thoracolumbar junction is where it most frequently occurs. Avoiding neurological problems and spinal abnormalities requires early diagnosis and treatment. In this report, we have discussed the case of a 61-year-old man who had spinal tuberculosis and was given anti-tuberculosis treatment.

How to cite this article:

Gadhiya PH, HD Bhimani, Parekh K. A Case Study

on Koch’s Spine. Chettinad Health City Med J.

2023;12(4):110-112.

DOI: https://doi.org/10.24321/2278.2044.202380

Bilateral Sagittal Split Osteotomy with Mandibular Setback - A Case Report

Alagappan Meyyappan, Jessica Yolanda Jeevitha, Haravindh — Sat, 30 Dec 2023 00:00:00 +0000

Conventional orthognathic surgery has taken a back seat nowadays, and bilateral sagittal split osteotomy (BSSO) has been considered to be the surgery of choice for mandibular deformity correction since its popularisation in the 1950s. The uniqueness of the technique has made it a popular choice in the correction of mandibular prognathism, retrognathism, and asymmetry. Here, we present a case of skeletal class III facial deformity treated using conventional orthognathic surgery involving pre-surgical fixed orthodontic treatment followed by bilateral sagittal split osteotomy and post-surgical orthodontic treatment.

How to cite this article:
Meyyappan A, Jeevitha JY, Haravindh. Bilateral
Sagittal Split Osteotomy with Mandibular Setback
- A Case Report. Chettinad Health City Med J.
2023;12(4):113-116.

DOI: https://doi.org/10.24321/2278.2044.202381

Effect of Virtual Reality and Audio Distraction on Pain during Painful Procedures among Children Admitted in a Tertiary Care Hospital

Venkatesaperumal D, Sumathy P — Sat, 30 Dec 2023 00:00:00 +0000

Introduction: Children face a variety of crises throughout their lives,
often experiencing illness and hospitalisation in their early years. The
procedural pain is worse than the illness. The ability to regulate pain
through distraction seems to hold a lot of promise. The children can turn
their attention away from their suffering with the aid of distraction. The
main aim of the present study was to evaluate how children responded
to pain during IV cannulations in the virtual reality group and the audio
distraction group and compare them with the control group.
Material and Methods: A randomised controlled trial design was used
in this study conducted on 75 children aged 8–12 years. By means
of random assignment, the children were allotted to three groups
(25 children in every group), namely the virtual reality group, audio
distraction group, and control group. The Wong–Baker FACES Pain
Rating Scale was used to measure the intensity of pain.
Results: The study findings showed a significant difference between
the pain levels of the participants of the virtual reality group and the
controls (p < 0.001), and also between the participants of the audio
distraction group and the controls (p < 0.001).
Conclusion: The study findings imply that using audio and virtual reality
distractions during intravenous cannulation can help children feel more
at ease and experience less pain.

How to cite this article:
Venkatesaperumal D, Sumathy P. Effect of Virtual
Reality and Audio Distraction on Pain during
Painful Procedures among Children Admitted in
a Tertiary Care Hospital. Chettinad Health City
Med J. 2023;12(4):117-120.

DOI: https://doi.org/10.24321/2278.2044.202382