Explore the vast range of titles available.

Competency-based medical education curriculum (CBME) has received traction worldwide. However, its adoption and implementation have significantly varied across the globe. The National Medical Commission, India (2019) has adopted CBME to improve the quality and content of training of medical students. However, the ongoing COVID-19 pandemic has spawned several challenges implementing the CBME. Therefore, there is a need to reflect on using novel teaching and assessment methods to enrich medical and psychiatric training. In this paper, we aimed to study global trends and characteristics of competency-based psychiatry training programs and how these experiences can be utilized to overcome challenges and facilitate the implementation of CBME in Psychiatry in the Indian context. A literature search was conducted using PubMed and Google Scholar databases. The findings are presented narratively. Psychiatry training for medical students greatly vary across the globe. High-income countries mainly have implemented CBME and have incorporated psychiatry training during the foundation/pre-clerkship period itself. There is more reliance on skill development and flexible and learning-based training vs. time-based training. Various enrichment activities have been incorporated into the medical curriculum to promote and strengthen psychiatry training for medical students, particularly in developed nations, which have yielded positive results. Although the COVID-19 pandemic has adversely affected the medical student's training, it has reiterated the significance of skill-based education and opened novel avenues for implementing the CBME.Medical educationists need to adapt themselves to provide CBME to the students. Making structural, curricular changes, orienting teachers, and students about the CBME, mentoring teachers, adopting novel training and assessment methods, utilizing enrichment activities, collaborating with educational institutions and technology providers, periodically evaluating the implementation of the CBME, and making appropriate course corrections are essential. In addition, there is a need to address structural barriers, such as lack of workforce, for better realization of the CBME objectives.eriodically evaluating the implementation of the CBME, and making appropriate course corrections are essential. Additionally, there is a need to address structural barriers, such as lack of workforce, for better realization of the CBME objectives.

Yoga and meditation-based interventions have been extensively utilized in the field of contemporary complementary and alternative medicine for various physical and mental health conditions. Ongoing COVID-19 pandemic has rekindled the interest of researchers in yoga and meditation for its preventive and therapeutic utilities. However, the available literature in this area has several methodological concerns, limiting formers’ clinical utility. A comprehensive literature on this topic would stimulate researchers and guide them to conduct research on this topic with robust methodologies. The current review highlights the methodological issues with the yoga and meditation-based Research (henceforth, MBR), discusses some of the contentious issues, and provides future directions. The PubMed, Medline, and google scholar databases were searched to screen records dealing with the methodological issues on MBR. The search yielded 299 records, upon screening, only 24 articles were found suitable for the current study. Common methodological issues with MBR: lack of the consensus definitions of the yoga and meditations, interventions lacking theoretical framework of meditation; inadequate description of the study design; difficulty with participants recruitment, setting up the control groups, and blinding; difficulty in assessing the baseline characteristics of the participants, and validity issues with the outcome measures. A few research, however, have also highlighted the potential measures to overcome these methodological challenges. Yoga and meditation-based interventions are promising for several health conditions. However, literature suffers from considerable methodological issues, thus, limiting its utility in modern clinical practice. The study findings can stimulate and guide future research on this topic.

Abstract Trypanosoma evansi, a hemoflagellate protozoan parasite, causes wasting disease called surra in wide range of animals. Although the organism has been reported from various parts of India, data generated from organized epidemiological study is still in infancy in majority states of India. In the present study, livestock of Himachal Pradesh, India, was targeted for epidemiological investigation of T. evansi infections. A total of 440 equines and 444 cattle serum samples were collected from four agro-climatic zones. Furthermore, serum samples of 280 buffaloes from three different agro-climatic zones of Himachal Pradesh were also collected and evaluated for the presence of T. evansi infection by indirect ELISA. Data generated showed higher prevalence in buffalo (23.57%) followed by cattle (22.52%) and equines (1.82%). Disease was found to be more prevalent (P < 0.01) in cattle of lower altitude as compared to those of higher altitudes. No significant variation was seen in prevalence of disease on the basis of age and sex of the animals. Serum biochemical analysis revealed increased levels of BUN in T. evansi–infected equines. Levels of liver function enzymes such as ALT/GGT and AST were found to be significantly elevated (P < 0.01) in seropositive animals whereas glucose levels were significantly lower in surra-seropositive animals as compared to seronegative animals. Immunoblot analysis of whole cell lysate (WCL) antigen of T. evansi using surra-seropositive samples of equines showed immunodominant bands in the range of 100–25 kDa. Bovine-seropositive samples recognized polypeptide bands in the range of 85–32 kDa, including protein clusters of 52–55 and 48–46 kDa. Polypeptide cluster of 62–66 kDa was found common in seropositive samples of bovines and equines from all agro-climatic zones. T. evansi was found to be highly prevalent in livestock of Himachal Pradesh, and thus, there is dire need for designing of proper control strategies against surra.

Background: Out of 931 species of ticks, Rhipicephalus microplus is the most widely studied tick species due to its pivotal role in transmission of babesiosis and anaplasmosis, resulting in huge economic loss in cattle and buffalo’s industry. Chemical control using deltamethrin forms the mainstay of tick control strategy because of high potency and low toxicity. However, inadvertent use of deltamethrin has led to the development of deltamethrin resistance in field ticks. Methods: The engorged female ticks were collected in a plastic container covered with a cotton plug from 10 places (Jarwa, Barwa, Khajakhera, Banisi, Nakipur, Dhangar, Badopal, Shivalya Dharamshala, Siwani and Meham) of five districts of western Haryana. The Larval Packet Test (LPT) was conducted for the characterization of resistance in field tick. Results: In the present study, ticks were collected from 10 places from 5 districts of western Haryana and evaluated against deltamethrin using larval packed test. The LC50 values (confidence interval) of ticks larvae against del- tamethrin collected from Nakipur, Dhangar, Barwa, Badopal, Shivalya Dharamshala, Siwani, Jarwa, Khajakhera, Meham and Banisi are 73.6 (67.2–81.9), 61.2 (61.6–98.5), 52.7 (14.4–101.0), 140.0 (86.7–448.6), 65.8 (37.1–95.2), 232.1 (201.0–304.7), 3.72 (0.20–9.87), 21.3 (12.0–31.6), 107.6 (96.8–127.6), 54.2 (43.4–58.4) ppm, respectively. The resistance factor ranges from 0.31 to 11.86, indicating variable resistance among field isolates. Conclusion: Data generated on deltamethrin resistance status in R. microplus from Haryana, India can be used as an indicator for the management of the species in the state.

Pandemic, being unprecedented, leads to several mental health problems, especially among the front‐line healthcare workers (HCW). Front‐line HCWs often suffer from anxiety, depression, burnout, insomnia and stress‐related disorders. This is mediated to a large extent by the biopsychological vulnerabilities of the individuals; socioenvironmental factors such as the risk of exposure to infection, effective risk communication to HCWs, availability of personal protective equipment, job‐related stress, perceived stigma and psychological impact of the isolation/quarantine and interpersonal distancing also play the major roles. Despite the huge magnitude of mental health problems among the front‐line HCWs, their psychological health is often overlooked. Some of the potential measures to reduce the mental health problems of the front‐line HCWs are effective communication, tangible support from the administration/seniors, mental health problem screening—and interventional—facilities, making quarantine/isolation less restrictive and ensuring interpersonal communication through the various digital platforms, proactively curtailing the misinformation/rumour spread by the media and strict legal measures against violence/ill treatment with the HCWs, and so on. India, along with other countries who lately got affected by the COVID‐19, must learn from the experiences of the other countries and also from the previous pandemics as to how to address the mental health needs of their front‐line HCWs and ensure HCWs’ mental well‐being, thereby improving their productivity. Current review attempts to highlight the mental health aspects of the pandemic on the front‐line HCWs, discusses some of the contentious issues and provides future directions particularly concerning COVID‐19 in the Indian context and other low‐resource countries.

Objective To examine feasibility and acceptability of smartphone mental health app use for symptom, cognitive, and digital phenotyping monitoring among people with schizophrenia in India and the United States. Methods Participants in Boston, USA and Bhopal and Bangalore, India used a smartphone app to monitor symptoms, play cognitive games, access relaxation and psychoeducation resources and for one month, with an initial clinical and cognitive assessment and a one-month follow-up clinical assessment. Engagement with the app was compared between study sites, by clinical symptom severity and by cognitive functioning. Digital phenotyping data collection was also compared between three sites. Results By Kruskal-Wallis rank-sum test, we found no difference between app activities completed or digital phenotyping data collected across the three study sites. App use also did not correlate to clinical or cognitive assessment scores. When using the app for symptom monitoring, preliminary findings suggest app-based assessment correlate with standard cognitive and clinical assessments. Conclusions Smartphone app for symptom monitoring and digital phenotyping for individuals with schizophrenia appears feasible and acceptable in a global context. Clinical utility of this app for real-time assessments is promising, but further research is necessary to determine the long-term efficacy and generalizability for serious mental illness.

Introduction: Exposure to alcohol in popular movies during adolescence is associated with higher rates of alcohol use. We aimed to assess the extent and pattern of depiction of alcohol in Bollywood movies, and to analyze the trends in portrayal of alcohol over three decades selected for the study. Materials and Methods: We selected the top five grossing movies for each year of the three decades selected (1961-1970; 1981-1990; and 2001-2010). Content analysis was conducted for each scene depicting alcohol in the movie. We compared quantitative variables across the three decades to assess for any changes in the portrayal of alcohol and performed qualitative content analysis for the text description of the context, in which alcohol was depicted in each movie. Results: Of the total 150 movies analyzed, 135 (90%) movies contained at least one scene depicting alcohol. Alcohol scenes comprised 7% of the total movie time. Majority of the scenes (92.2%, n = 976) showed the substance (alcohol) itself. Spirits were the most common alcohol beverages depicted (75.1%, n = 733). Only 7.9% of scenes (n = 84) depicted alcohol brands. About 67% (n = 709) of scenes showed characters consuming alcohol or appeared intoxicated. Most scenes portrayed hero (n = 253, 35.7%) consuming alcohol. Female characters were depicted in 7.5% (n = 53) alcohol scenes. The third decade (2001-2010) had the least proportion of scenes depicting Spirits and the highest proportion of scenes depicting beer and wine. Decade three also had the most proportion of scenes set in clubs, bars, discotheques or restaurants, scenes with characters of \"positive\" shade depicting alcohol use, and the scenes portraying heroine with alcohol use. Conclusion: There is an increasing trend toward alcohol depiction by positive characters for fun and relaxation, and toward depiction of low-concentration alcohol such as beer in recent decades. The impact of changing trend of alcohol depiction on the Indian viewers, especially young audience, needs further study.

Sexual dysfunctions are common among females with common mental health conditions, such as anxiety and depression. However, discussion on this topic remains taboo in many cultures, including India. Worldwide, the Female Sexual Function Index (FSFI) is the most used tool to evaluate sexual functioning in females. Researchers across the globe attempted to translate and validate this scale in native languages (e.g., Japanese and Spanish); however, such translations are not available in Hindi. Strikingly, although there is literature informing us about the regional validation process of this scale, little has been discussed about qualitative nuances of the process of translation, the expert panel discussion, and cognitive interviewing during pilot testing. The lack of such procedural qualitative data limits the replicability of such translations in different cultures; furthermore, it can adversely influence the parameters of the validation study. Hence, the current study was conducted to highlight the process of Hindi translation of the FSFI and illustrate the challenges faced at various stages of translation and testing. The study was conducted in the multidisciplinary hospital of Central India by involving five translators, five expert panel discussants, and 15 patients with common mental health conditions or their caregivers. The significant findings of the current work include the requirement of semantic and grammatical changes and rephrasing of the sentences for improving comprehensibility and applicability in the Indian population (during the panel discussion). Additionally, it informed us to use alternate or more than one word to capture a concept, including English words written in Hindi (during preliminary pilot testing). Critical roadblocks were inadequate awareness of the issues, lack of typical/comprehensive terminologies to capture the ideas, and significant stigma attached to the subject.