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

The Rise of Patient Activation and Shared Decision-Making: Redefining the Future of Healthcare

Raja D — Tue, 14 Jul 2026 07:14:48 +0000

Healthcare has undergone a remarkable transformation over the past few decades. Traditionally, healthcare delivery followed a paternalistic model in which doctors made decisions on behalf of patients, assuming
that medical expertise alone was sufficient to determine the best course of treatment. While this approach undoubtedly contributed to many advances in medicine, it often overlooked an equally important
component of healthcare - the patient’s values, preferences, and lived experiences. Today, this scenario is changing rapidly with the emergence of patient activation and shared decision-making [SDM], two
complementary concepts that place patients at the center of healthcare. Together, they represent a shift from “doing things to patients” toward“working with patients” to achieve better health outcomes.

Regression Modelling and Forecasting for Indian Suicide Cases

Tue, 14 Jul 2026 07:50:11 +0000

Objective: The issue of suicide has become a topic of public health concern in India. Mitigating the repercussions associated with suicide has become an imperative focus of public health initiatives. Proactive
identification of suicide risks, informed by surveillance data, is crucial for managing the incidence of suicide fatalities in India. Our research endeavors were aimed at exploring the feasibility of employing a Quadratic model to forecast the incidence of suicide deaths in India.
Method: The dataset comprising annual suicide death cases in India from 1990 to 2016 was utilized to calibrate the Quadratic model. The discrepancy between the observed and predicted values was employed
to assess the forecasting accuracy of the developed replicas.
Results: Mean suicide rate remained determined to be 20.11789, with a standard deviation of 1.194, a minimum of 17.8963, and a maximum of 21.4266 individuals. The Quadratic model demonstrated statistical
significance (p < 0.001) and passed the correlation residual test (p >0.05), exhibiting a high Adjusted R² and R² alongside low values of Mean Squared Error, Mean Absolute Error and Root Mean Squared Error and Average Forecast Error values at 0.961, 0.975, 0.004624, 0.322470, 0.39681, and 0.015475, respectively.
Conclusions: The Quadratic model emerged as the most suitable model for predicting suicide death cases in India.

Keywords: Suicide, Epidemiology, Regression, Quadratic, Curve,Prevention

How to cite this article:
Thangarasu D, Murugesan T, Radhakrishnan A, Rajasekar V D. Regression Modelling and Forecasting for Indian Suicide Cases. Chettinad Health City Med J. 2026;15(2):4-9.

DOI: https://doi.org/10.24321/2278.2044.202609

Maternal and Fetal Outcomes Among Anemic and Non-Anemic Pregnant Women: A Hospital Based Comparative Cross-Sectional Study

Gurpreet Kaur, Sharish Khan — Tue, 14 Jul 2026 08:44:12 +0000

Background: Maternal anemia remains a major public health problem in developing countries and is associated with adverse maternal and neonatal outcomes. Evidence from hospital-based studies in North India comparing maternal and fetal outcomes among anemic and non-anemic pregnant women remains limited.
Objective: To compare maternal and fetal outcomes among anemic and non-anemic pregnant women admitted to a government healthcare facility in North India.
Methods: A hospital-based comparative cross-sectional study was conducted among 60 pregnant women, comprising 30 anemic and 30 non-anemic mothers, admitted to the obstetrics department of atertiary care hospital in North India. Maternal and neonatal outcome data were collected using a structured data collection tool. Data were analyzed using descriptive statistics, the Chi-square test, and Student’s t-test. A p-value of <0.05 was considered statistically significant.
Results: Anemic mothers had a significantly higher mean pulse rate than non-anemic mothers (88.0 ± 8.22 vs. 81.2 ± 5.90 beats/min; p < 0.001), whereas respiratory rate and blood pressure were comparable
between the groups. Preterm delivery was more frequent among anemic mothers than non-anemic mothers (53.3% vs. 20.0%). Infants born to anemic mothers more commonly had low birth weight (<2.5kg; 80.0% vs. 13.3%) and birth asphyxia (43.3% vs. 6.7%) than those born to non-anemic mothers.
Conclusion: Adverse maternal and neonatal outcomes, including preterm delivery, low birth weight, and birth asphyxia, were observed more frequently among anemic mothers than among non-anemic mothers.
These findings highlight the importance of routine antenatal screening, early diagnosis, iron–folic acid supplementation, and appropriate management of maternal anemia to improve pregnancy outcomes.
Keywords: Maternal anemia, Pregnancy, Fetal outcomes, Low birth weight, Birth asphyxia, Preterm birth

How to cite this article: How to cite this article: Kaur G, Khan S. Maternal and Fetal Outcomes
Among Anemic and Non-Anemic Pregnant Women: A Hospital-Based Comparative Cross Sectional Study. Chettinad Health City Med J. 2026;15(2):10-18.

DOI: https://doi.org/10.24321/2278.2044.2026010

A Descriptive Study to Assess the Awareness Regarding Services Rendered for Screening and Control of Non-Communicable Diseases (NCDs) at Ayushman Arogya Mandir (AAM) Among People in a Selected Community of New Delhi.

Nargis Khatoon, Sumathi M, Zeba Bano — Tue, 14 Jul 2026 09:33:43 +0000

Non-communicable diseases are a leading cause of morbidity and mortality worldwide, placing a significant burden on healthcare systems. The Government of India has strengthened primary healthcare services
through Ayushman Arogya Mandirs, which provide comprehensive services including screening, prevention, and management of NCDs.
However, the effectiveness of these services largely depends on the awareness among the community.1 The present study aims to assess the level of awareness regarding services rendered for the screening and
control of NCDs at AAM among people in a selected community of New Delhi. A quantitative approach, descriptive survey design was carried out on 100 people (above 18 years) residing in Tughlakabad village
New Delhi. Purposive sampling technique, structured demographic and awareness questionnaire and descriptive statistics was used. The findings revealed that majority of the sample subjects i.e. 39% were
highly aware, 37% were moderately aware and 24% were least aware, indicating there is still a need to improve continuous community-based health education to promote better health outcomes.

Keywords: Non-Communicable Disease, Ayushman Arogya Mandir, Awareness, Services

How to cite this article:
Khatoon N, Sumathi M, Bano Z. A Descriptive Study to Assess the Awareness Regarding Services Rendered for Screening and Control of Non Communicable Diseases (Ncds) at Ayushman Arogya Mandir (Aam) Among People in a Selected Community of New Delhi.. Chettinad Health City Med J. 2026;15(2):19-24.

DOI: https://doi.org/10.24321/2278.2044.2026011

A Descriptive Study to Assess the Knowledge and Attitude Regarding the Labour Care Guide (LCG) and its Implementation as a Decision Making Tool Among Student Nurses in a Selected Nursing College of New Delhi.

Nazni, Nargis Khatoon — Tue, 14 Jul 2026 10:02:20 +0000

The WHO Labour Care Guide (LCG) marks a vital shift toward respectful, person-centered maternal care, replacing the traditional partograph. A descriptive study to assess the knowledge and attitude regarding
Labour Care Guide (LCG) and its implementation as a decision-making tool among student nurses in a selected nursing college of New Delhi.
Objectives: To assess the level of knowledge and attitude regarding Labour Care Guide (LCG) its implementation as a decision-making tool among student nurses in a selected nursing college of New Delhi. To
disseminate the e-pamphlet regarding the Labour Care Guide (LCG) and its implementation as a decision-making tool. A quantitative and non-experimental research approach with a descriptive design was
used. The structured knowledge questionnaire & attitude scale was used for data collection from 19 to 26 November 2025. The tool and pamphlet were validated by 7 experts. Purposive sampling technique was used for the selection of 137 students (DGNM 3rd year, B.Sc. Nursing 3rd year and 4th year, Post Basic B.Sc. 1st year, M.Sc. Nursing 1st and 2nd year students) from Rufaida College of Nursing. The data was collected through structured and valid questionnaire and attitude scale through Online-mode (google form) and analysis were done by descriptive statistics in terms of frequency, percentage, mean, median and standard deviation. The study revealed that out of 137 student nurses, 9 (6.5%) students were had above average knowledge,
71 (51.8%) had average knowledge and only 57 (41.6%) had below average knowledge regarding Labour Care Guide (LCG). 42 (30.65%) shown positive attitude, 95 (69.34%) shown neutral attitude and none
of them shown negative attitude regarding Labour Care Guide (LCG). Hence, targeted educational interventions are essential to enhance both cognitive competence and attitudinal disposition, ensuring high
quality maternal care.

Keywords: Labour Care Guide (LCG), Decision-Making Tool,Knowledge, Attitude, Student Nurses, E-Pamphlet

How to cite this article:
Nazni, Khatoon N. A Descriptive Study to Assess the Knowledge and Attitude Regarding the Labour Care Guide (Lcg) and its Implementation as a Decision-Making Tool Among Student Nurses in a Selected Nursing College of New Delhi..Chettinad Health City Med J. 2026;15(2):25-31.

DOI: https://doi.org/10.24321/2278.2044.2026012

From Errors to Excellence: Mapping a Decade of Patient Safety Research through Bibliometric Analysis (2015-2024)

Sharun N V, Rohini T, Ramya Jyothi Yelisetty — Tue, 14 Jul 2026 10:35:49 +0000

Introduction: Patient safety has become a central concern in global healthcare, driven by the persistent occurrence of medical errors and adverse events. Over the past decade, research in this field has expanded
significantly across disciplines, aiming to improve clinical protocols, safety culture, and health system performance. Bibliometric analysis offers a robust method for quantitatively mapping the evolution, trends,
and collaborative networks in patient safety research, providing critical insights for policy, practice, and future scholarship.
Methods: This bibliometric study analysed 8433 documents published between 2015 and 2024, retrieved from Scopus and Web of Science.
The final dataset was analysed using Biblioshiny (R Studio), VOSviewer, and CiteSpace to conduct performance analysis, science mapping, and trend identification. Key metrics included annual growth rate, citation
analysis, authorship patterns, journal productivity, and keyword co occurrence networks. Bradford’s and Lotka’s Laws were applied to assess source and author productivity.
Results and Discussion: The annual growth rate of publications was 2.23%, indicating sustained interest in patient safety. “The Journal of Patient Safety” was the most prolific source, while “BMJ Quality &
Safety” led in citation impact. The most influential author was LEE S, with an h-index of 17 and 919 citations. Although the United States accounted for 27.7% of publications, countries like the Netherlands and the United Kingdom demonstrated higher citation efficiency and international collaboration. Keyword analysis revealed five major thematic clusters: clinical outcomes, human factors, education and tools, system performance, and demographic context. Emerging topics such as burnout, safety culture, and healthcare costs indicate evolving
research priorities post-COVID-19.
Conclusion: This study offers a decade-long panoramic view of global patient safety research, highlighting a maturing field characterized by thematic diversity, evolving priorities, and the need for stronger
international collaboration.
Keywords: Patient Safety, Bibliometric Analysis, Safety Culture,Quality Improvement, Research Trends

How to cite this article:
Sharun N V, Rohini T, Yelisetty R J. From Errors to Excellence: Mapping a Decade of Patient Safety Research through Bibliometric Analysis(2015-2024). Chettinad Health City Med J. 2026;15(2):32-42.

DOI: https://doi.org/10.24321/2278.2044.2026013

Efficacy of Core Strengthening Exercise Programs for Alleviating Postpartum Low Back Pain and Physical Function in Women with Caesarean Section-A Narrative Review

Tue, 14 Jul 2026 12:07:27 +0000

Background: A common postpartum concern for women after caesarean sections is pain and dysfunction of muscles of the lower back and abdomen, it is a serious global health issue that impacts many women. The aim of this study is to investigate the effectiveness of core strengthening exercise Programs on postpartum low back pain and physical dysfunction in women who have had caesarean sections.
Methods: This study design is a narrative review by computerized electronic search using databases such as PubMed, PEDro, Scopus, EMBASE, and the Google Scholar with keywords including postpartum low back pain, core strengthening programs, caesarean section, physiotherapy and exercise intervention. The inclusion criteria specifiedrandomized controlled trials published in English from 2013 till 2024. The
primary focus was postpartum low back pain, and core strengthening exercise programs were identified as a treatment option. The initial database search yielded 125 studies, of which 55 were considered to potentially meet the criteria. Ultimately, 10 journal articles were included in this study.
Results: Evaluation of these article indicated that core strengthening exercise programs had a positive impact on postpartum low back pain and physical function in women after a caesarean section. The review found that programs lasting at least eight weeks, consisting of three sessions per week, could provide the most substantial
benefits for core strengthening.
Conclusions: The findings of this narrative review showed that postpartum low back pain can be effectively relieved and physical function can be improved in women with core strengthening exercise regimens following a caesarean section.
Keywords: Postpartum Low Back Pain, Core Strengthening Programs, Caesarean Section, Physiotherapy
Exercise, and Therapeutic Intervention

How to cite this article:
Babu H L, Nainar M A, Gayathri K C, Suthadevan S, Vijaysing R S, Kotteswari S G, Fathima M Z M. Efficacy of Core Strengthening Exercise Programs for Alleviating Postpartum Low Back Pain and Physical Function in Women with Caesarean Section-A Narrative Review. Chettinad Health City Med J. 2026;15(2):43-51.

DOI: https://doi.org/10.24321/2278.2044.2026014