Journal of Surgical Specialties and Rural Practice

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The use of simulation is a unique teaching–learning approach in medical and nursing education to empower undergraduates with desired clinical skills. Simulation duplicates the events from the real world and influences the learner in a naturalistic setup and evokes a real experience to the learner. This method of learning facilitates students to practice multiple times to attain proficiency in a particular technique without compromising on patient safety. They can rely on simulation exercises in clinical skill laboratories (CSL), which boost their confidence level, reduce anxiety, and promote satisfaction before performing or dealing in real clinical settings. Simulation has been widely used for formative evaluation and is a reliable assessment tool as it ensures a high level of objectivity. The simulation-based approach in undergraduate medical and nursing education is an effective way of learning that can be incorporated into the educational strategy. This article presents the evolutionary growth, modalities, prerequisites, usefulness, and challenges for simulation-based learning.

Toenails provide stability to the foot. A stubbed toe may result in nail injury or fracture. Toe injuries are often ignored, leading to inappropriate or delayed management. The COVID-19 pandemic has badly affected the health services leading to further delay in treatment. We present a case report of an adult male who presented with an injured toe at a primary care clinic in India. Due to the apprehension of contracting severe acute respiratory syndrome coronavirus 2 infection and lockdown restrictions, the patient neither wanted to go to a higher center or get investigations done. The case report discusses the management and ways to handle such cases for primary care doctors in a resource-constrained setting.

Context and Objectives: There is a strong urban-rural divide in India in terms of education, economic status, and availability of health care. This became more prominent during the COVID-19 pandemic. Hence, the government emphasized on preventive aspects, especially in terms of safety practices. With this context, this study sought to evaluate and compare the knowledge, attitudes, practices, and psychological impact of COVID-19 among the urban and rural population of Bangalore to study the differential effects on both communities. Materials and Methods: An online questionnaire was distributed to 142 participants between December 1 and 31, 2020. The goal was to receive responses from both urban and rural population of Bangalore. Informed consent was taken from all participants. The response scores were tabulated and analyzed using statistical software. Results and Conclusion: A total of 138 responses were evaluated. In comparison to the urban population, there was a statistically significant link between inferior education and occupation in the rural population. (P 0.001). There was a statistically significant difference between rural and urban respondents in terms of knowledge (P 0.001) and attitude (P 0.05). The rural population's COVID-19 practices and the psychological impact were shown to be worse, but this was not statistically significant. A holistic approach is required to increase the rural population's knowledge and practices to integrate them with the rest of the country and combat the COVID-19 pandemic more effectively.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as Coronavirus disease 2019 (COVID-19), is a novel coronavirus first identified in December 2019 and has a broad spectrum of clinical presentations. With the expansion of related research, it was found that in addition to respiratory symptoms, digestive involvements and liver injury were reported among COVID-19 patients. Abnormal liver function was observed in cases of COVID-19, manifesting mainly as isolated elevated serum transaminase and lactate dehydrogenase levels. The current review highlights the possible explanation for liver injury among COVID-19 patients.

The human myiasis or infestation of larvae of various species of fly bots is uncommon but interesting health challenge in some parts of the world. The basic knowledge of this disease, however, should be beneficial to clinicians across disciplines as a spectrum of manifestations involving various organs are described in the medical literature. The extremity involvement is rather uncommon and is often found with underlying associated conditions. The diagnosis and identification of the causative species is important for documentation and management. Clinical suspicion, wound lavage, dressing, and debridement are important steps in optimal management. Appropriate systemic pharmacotherapy is supplemented for quick recovery. Prevention, however, coupled with avoidance of predisposing factors is the best management in both community and health-care settings. As the disease is more commonly noted in lower socioeconomic conditions and rural settings, the working knowledge of this condition should come in handy in anticipating, suspecting, and thus diagnosing the condition early for a prompt recovery.

Online since 31^st August 2020