Knowledge of yoga among cancer patients and their attendants: a survey in a tertiary cancer centre in North East India

Yoga is an ancient Indian science that has evolved over thousands of years. Yoga deals with the physical, mental, moral and spiritual well-being of an individual.1 We have conducted an electronic survey amongst the cancer patients and attendants of our hospital about their knowledge of yoga. It’s a survey of 62 participants from 15/06/2021 to 18/06/2021 (before international yoga day on 21/06/21), 46.8% of the participants are male and 53.2% are female in the survey. The age of the participants ranges from 9 to 69 years. We have designed a set of ten questions, first six questions are designed to know their knowledge about the beneficial effects of the yoga, next two questions are about the misconceptions, cautions and guidance needs while performing yoga and the last two questions about the possibility of the practical application of it in their life. In our survey, we find that 93.5% of the participants think yoga reduces stress, 96.8% think yoga reduces fatigue, 95.2% opine yoga improves sleep, 93.5% feel yoga improves posture-related dysfunctions in cancer patients. Regarding chances of recurrence in cancer patients, 75.8% of patients think it has a negative impact on recurrence, 40.3% of participants have an opinion that yoga can cure cancer (no study till now proves that yoga cures cancer), and 90.3% feels that unguided yoga can cause injuries. At last, 93.5% patients feel yoga improve quality of life in cancer patients and 93.5% want to implement yoga in their daily life. From our survey, it seems participants have a fair idea of the benefits of yoga in cancer

Utility of telemedicine in COVID-19 pandemic: our experience at a tertiary cancer center in North East India

Background: Telemedicine is a very useful tool of communication between the doctor and the patient. The aim of this study was to find out the utility of telemedicine during the lockdown period of COVID-19 pandemic in North East India.Methods: It is a cross sectional study among the cancer patients at our center on follow up or ongoing treatment and analysis of all the data acquired from telephonic conversation with our patients from 30th March, 2020 to 3rd May, 2020. Have contacted 4181 patients during this period over phone. All phone calls were done by respective department doctors.Results: From the demographic data, we get that 35.4% of patients were at good physical condition, 3.5% with poor general condition, 11.6% patients having ongoing treatment in our institute, 21.1% patients expired, 0.9% patients have nonmalignant diagnosis, 1.4% patients left the institute due to various reasons. Analyzed this data with brain storming sessions amongst the COVID-19 task force doctors and tried to find out solutions of each problem.Conclusions: Telemedicine cannot replace conventional method of in person treatment, but it proved to be a useful tool during the COVID-19 pandemic for patient follow up and treatment of cancer patients

An Innovative Technique of Microsurgical Training on Fresh “Chicken Quarter” Model: Our Experience

Purpose Regular practice, quality clinical exposure, and academic discussion are essential in any surgical specialty training. This study discusses and validates the option of using a fresh “chicken quarter” model with a measurable scoring system, as a standard training regimen in microvascular surgery. This can be a very effective, economical, and easily accessible model for residents. Materials and Methods This study was conducted in the Department of Plastic surgery, from October 2020 to May 2021. Twenty-four fresh “chicken quarter” specimens were dissected and the ischial arteries and femoral veins' external diameter (ED) were measured. The microsurgical skills of the trainee were assessed in 6 months intervals using the Objective Structured Assessment of Technical Skills Scale (OSATS) as well as the time taken for anastomosis. All the data were analyzed using SPSS (statistical package for social sciences) version 21. Results A task-specific score value of 50% on October 2020 improved to 85.7% by May 2021. This was found to be statistically significant (p = 0.043). The mean ED of the ischial artery and femoral vein was 2.07 and 2.26 mm, respectively. The mean width of the vein measured at the lower one-third of the tibia was 2.08 mm. A greater than 50% reduction in anastomosis time was observed after a period of 6 months. Conclusion In our minimal experience, the “chicken quarter model” with OSATS scoring system seems to be effective, economical, very affordable, and easily accessible microsurgery training model for the residents. Our study is done only as a pilot project due to limited resources and we have the plan to introduce it as a proper training method in the near future with more residents