Unmasking of Impostor Syndrome

Members of minority populations are forced to hide behind a mask of stereotypes others associate to them. Individuals who feel fraudulent when they fulfill certain stereotypes, associate their success to external forces, define the problem as impostor syndrome (IS). The paper focuses on the prevalence and relevance of IS on college campuses. The session will explore the affect and effect of IS from different cultural lenses and discuss possible preventive and coping strategies for academic and mental health professionals. The purpose is to ‘unmask’ the impostor syndrome caused by stereotypes and stereotype threats that prevents individuals from reaching ‘new heights’ and compromise their existing talents

Dentists’ Knowledge, Attitudes and Practices Regarding Hepatitis B, C and Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome In Northeast Part of Rajasthan

Introduction: Healthcare professionals including surgeons, dentists and paramedical personnel’s belong to high risk group of transmitting blood borne pathogens. Keeping this in view a study was proposed to assess the Knowledge, Attitude, and Practices (KAP) of dental professionals towards different viral diseases in northeast part of Rajasthan. Materials and Method: A cross-sectional, descriptive study was conducted among 500 randomly selected dentists in Jaipur district. Questions regarding KAP of hepatitis B (HBV), Hepatitis C (HCV) and Human immunodeficiency virus (HIV) / Acquired immunodeficiency syndrome (AIDS) were included in the questionnaire. Statistical analysis was done through SPSS Ver. 20.0. software using chi-square test, independent t-test and analysis of variance (ANOVA) to evaluate the differences between parameters. Results: The result indicates that the majority of the study subjects (60%) were female. The mean (+Standard Deviation) for age and work experience was 35.5+8.85 and 5.6+8.76 respectively. The mean value of KAP was 38.4+3.23, 21.5+4.34 and 23.05+5.67 respectively. It was observed that knowledge regarding HBV, HCV and HIV/AIDS was statistically significant with work experience (>10 Years; p<0.001), year of graduation (after 2006; p<0.001). Attitude of study subjects for HBV, HCV and HIV/AIDS was significantly inclined by age group (< 30 years: P = 0.011), work experience (≥10 years: P < 0.001), and place of work (dental clinic: P = 0.013). Conclusions: The observations of the study highlighted a reasonable level of knowledge and attitude of dental practitioners for HBV, HCV and HIV/AIDS infections. However there is a need of improvement in the knowledge level which can alter their attitude and practice towards patients with HBV, HCV and HIV/AIDS infection

Assessment of Public-Private Partnership (PPP) Models in Health Systems in Least Developed, Low Income and Lower-Middle-Income Countries and Territories : A Protocol for a Systematic Review.

Background: Private sectors play a significant role in health provision along with the public sector in both developed and developing countries. Given the limited resources of the public sector, Public-Private Partnerships (PPPs) are considered as a good solution to address the growing public health challenges. But inadequate assessment of various health-related PPPs has resulted in a failure to gather knowledge and evidence that would facilitate the establishment of effective partnerships, sustain, and systematize them over time, as well as determine the role of PPPs in health system strengthening, particularly in terms of urban health provision. The objective of this research is to systematically review the effectiveness of PPPs on the utilization of urban health provision to achieve health outcomes in the urban contexts of least developed, low income, and lower-middle-income countries and territories.Methods: This systematic review will follow PRISMA-P guidelines for reporting. Relevant databases-EMBASE, MEDLINE, Health Management Information Consortium, Social Sciences Citation Index, Science Citation Index, Emerging Sources, CENTRAL, i.e., Database of disability and inclusion information resources, and WHO Library Database–will be searched for published articles in the urban context. Reference lists of relevant systematic reviews and commentaries and citations of key included studies will be checked for additional studies. Two reviewers will independently screen the studies in covidence following the exclusion and inclusion criteria. Data will be thematically analysed and narratively synthesized.Discussion: This review will comprehensively assess and appraise all the existing PPP models for urban health provision in the least developed, low income, and lower-middle-income countries and territories. The findings of the review will help to understand the modalities of the existing health related PPPs in urban areas, their functionalities, and their contribution in achieving health outcomes.Protocol registration: This protocol is registered with the International Prospective Register of Systematic Reviews, PROSPERO (ID-CRD42021289509, 23 November 2021)

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Middle class, modernisation and disillusionment in Hrishikesh Mukherjee's Satyakam (1969) and Anand (1970)"

Aishwarya Josh

Communication Plan to Raise Awareness for Dementia and Promote Caring Closet

This poster was designed to communicate the products developed for Rockin\u27Out Alzheimer’s, an organization to help caregivers in providing everyday essentials for at-home dementia patients, in Statesboro, GA. The authors collaborated with the organization and helped to develop communication materials for their program - Caring Closet which was aimed at providing diapers, bed-pads, barrier creams and other necessary items to qualified individuals suffering with dementia. The authors helped to set up a webpage, a Facebook page and design an infographic for Caring Closet and helped communicate about the program in the community. The end results were then compiled and presented in the form of a poster

Communication Plan to Rase Awareness for Dementia and Promote Caring Closet

Presentation given at the Eagle Showcase: Excellence in Service-Learning, Georgia Southern University. This poster was designed to communicate the products developed for Rockin\u27Out Alzheimer’s, an organization to help caregivers in providing everyday essentials for at-home dementia patients, in Statesboro, GA. The authors collaborated with the organization and helped to develop communication materials for their program - Caring Closet which was aimed at providing diapers, bed-pads, barrier creams and other necessary items to qualified individuals suffering with dementia. The authors helped to set up a webpage, a Facebook page and design an infographic for Caring Closet and helped communicate about the program in the community. The end results were then compiled and presented in the form of a poster

Reframing Mental Health Perceptions: Need for Mental Health Education in Kenya

This qualitative research presentation aims to explain the need for mental health education in rural Kenya using in-depth narratives of 20 orphaned or vulnerable Kenyan youth. Through this session participants will be able to understand the relevance and prevalence of mental health concerns and the causal factors that hinder the effectiveness of existing mental health services. Lastly, through this session the authors aim to explain the impact of mental health education in changing the negative perceptions of mental health issues

Evolution of demarcation line after pneumatic retinopexy—a case report

Abstract Background Demarcation line in a rhegmatogenous retinal detachment (RD) is a classic finding noted in chronic cases. In this case report, we describe a case of evolution of post-operative demarcation line after pneumatic retinopexy (PnR) in a subtotal rhegmatogenous RD. Case description A 31-year-old male diagnosed with acute, subtotal, macula-off rhegmatogenous RD in the left eye of 15-day duration underwent PnR on the same day. His presenting visual acuity was 6/48 in the left eye. Transconjunctival cryopexy was performed to the retinal break at the same sitting and 0.5 cc of 100% perfluoroproprane (C3F8) gas was injected in the vitreous cavity and right lateral position was advised to the patient. Result A pigmentary demarcation line was noted extending the nasal part of the macula along the most dependent part of the detachment on the immediate post-operative day and was more obviously visible on the 2nd and then on the 11th post-operative day. The visual acuity at the last follow-up visit improved to 6/18. Successful reattachment of the retina was noted on the last follow-up visit. Conclusion Post-operative demarcation lines after RD surgery could develop due to subretinal migration of pigments and along the most-dependent part depending upon post-operative positioning of the patient. Careful post-operative positioning, particularly in macula splitting RDs could be important to avoid pigment accumulation along the foveal area

Central posterior hyaloid fibrosis: evolution and outcomes

Abstract Purpose To report contributory factors and clinical outcomes of central posterior hyaloid fibrosis (CPHF) associated with neovascular age-related macular degeneration (nAMD). Methods In this retrospective, single-center study, patients with CPHF and nAMD were included. Demographic and imaging characteristics, as well as the anatomical and functional outcomes, of these patients were analysed. Results We identified 530 eyes in 273 patients with chronic predominantly scarred macular neovascularisation (MNV), and 32 eyes in 29 patients revealed CPHF, representing a prevalence of 6%. Patients had a mean age of 72.76 years. Before and during the development of CPHF, Type 2 MNV was observed in all eyes. At the time of MNV diagnosis, mean logMAR visual acuity was 1.308 ± 0.559 (20/407). The average time to develop CPHF was 27.3 months since the diagnosis of MNV. At the time of CPHF identification, the mean logMAR visual acuity was 1.498 ± 0.374 (20/630). RPE tear was observed in 6% (n = 2) of CPHF eyes. The average number of intravitreal anti-VEGF injections administered prior to the diagnosis of CPHF was 2.4 and after the onset of CPHF was 0.9. The final visual acuity was not significantly different at the final follow-up visit [1.304 ± 0.42 (20/402); p = 0.646]. Conclusion Rarely observed in eyes with predominantly scarred subfoveal type 2 MNVs and extensive subretinal fibrosis, CPHF is associated with poor visual outcomes. Its presence could possibly suggest a profibrotic effect of MNV on the posterior hyaloid. Trial Registration Number: Not applicable