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Lucknow
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MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
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Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
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Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


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Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Original article / research
Year : 2023 | Month : January | Volume : 17 | Issue : 1 | Page : ZC44 - ZC47 Full Version

Awareness and Perception of New AYUSH Guidelines among Dentists of Chennai, Tamil Nadu, India: A Questionnaire Survey


Published: January 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/56875.17361
M Pavithra, Arvind Muthukrishnan

1. Postgraduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College, Chennai, Tamil Nadu, India. 2. Professor and Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India.

Correspondence Address :
Dr. Arvind Muthukrishnan,
Professor and Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India.
E-mail: arvindmuthukrishnan@yahoo.com

Abstract

Introduction: Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) is an alternative medical system and has found acceptance globally for its use of rich medical plants, minerals, and other natural commodities in treating different illness. In November 2020, AYUSH changed its curriculum guidelines for its postgraduate students, which allowed them to perform a variety of general surgery, including orthopedic, ophthalmology, Ear Nose Throat (ENT), and dental treatments.

Aim: To assess the awareness and perception among the dentists of these new AYUSH guidelines and to record their opinion.

Materials and Methods: The cross-sectional study was conducted in Department of Oral Medicine and Radiology at Saveetha Dental College, Chennai, Tamil Nadu, India,from January 2021 to February 2021. A self-constructed questionnaire of 15 questions was circulated via google forms. The response was collected from 123 dentists. Statistical analysis was done on the IBM software 24 version. Chi-square test was used to assess the relationship between dentists’ awareness of dental procedures included under the new AYUSH curriculum and their perception of ayurvedic practitioners performing the dental treatment efficiently.

Results: Only 58.5% (n=79) of dentists were aware of the term AYUSH and 53 (43%) dentists were aware of the new guidelines added to the postgraduate curriculum in AYUSH. About, 57.7% of dentists reported that the Ayurvedic practitioners cannot handle the complications occurring during dental procedures.

Conclusion: Dentists were not in favor of AYUSH practitioners performing dental treatments. The present study also concluded that dental procedures cannot be effectively and efficiently performed by AYUSH practitioners.

Keywords

Dentistry, Dental procedures, New ayurvedic curriculum, Practice guidelines

According to UN census data for 2019, the population of India is about 136.64 crores (1). It is the home of various cultural and religious groups in the world. There are various medicine systems practiced in India (2). One of them is the Complementary Alternative Medicine System (CAM). CAM is a wide collection of approaches to treat patients that are not considered to be part of the care usually provided by allopathic doctors and other healthcare professionals (3). The evolution of this alternative form of medicine got wide popularity among the public and gained credibility within health research. These systems are recognised and currently used in practice globally (4).

An important Complementary Medical practice system is AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) (5). Ayurvedic medicine is one of the world’s oldest holistic healing systems. It was developed more than 3,000 years ago in India. It helps to promote good health and to fight the disease. But treatments may be geared toward specific health problems (6). Yoga is a combination of breathing exercises, physical postures, and medication. It has been practiced for over 5000 years. It is considered a mind-body intervention that is used to reduce the health effects of generalised stress and it is believed to calm the nervous system and balance the body, mind, and spirit. Here practitioners prevent specific diseases and maladies by keeping the energy meridians open and life energy (Prana) flowing (7). The Siddha system originated in South India. It propounds that the physical structure of the universe and man are basically made up of five elements. The Unani system is a great healing art as well as science. It treats a person as a whole not as a group of individual parts. It aims at treating the body, mind, and soul. This system is based on the Hippocratic theory of four humors. Homeopathy is a medical system based on the belief that the body can cure itself. It can be used for minor issues like bruises, scrapes, headaches, nausea, coughs, and colds (5). The National Policy of AYUSH is a regulatory and promotional framework formulated by the Government of India under the Ministry of Health and Family Welfare, established in 2002. The Department of AYUSH was formed in 2003, to provide focused attention towards research, aim at the prevention of diseases, and education in the fields of unique and traditional Indian systems of medicine (8).

AYUSH courses are on the rise as there is an increase in medical facilities in India, and there has been an increased demand for healthcare professionals in the field (9). These courses are gradually becoming an attraction to the students as well. There are five undergraduate courses and nine postgraduate courses offered by the AYUSH. In November 2020, AYSUH had announced new guidelines for its postgraduate students. The principles regulations were published in the Gazette of India with CG-DL-E-20112020-223208. This recent guideline permits the students to receive formal training to perform a variety of general surgeries, including orthopedics, ophthalmology, otolaryngology, and dental care. This new amendment has been enacted as a law, by the amendment regulation act 2020. Regarding dental treatment plans, the act stated that the postgraduate students of ayurveda can perform root canal treatment and extraction of mobile teeth (10).

There are studies examining the benefits of AYUSH and its excellence among allopathic physicians (11),(12). However, there is a lacuna in the literature about dentists perception of the AYUSH curriculum change Thus, the aim of this research was to assess and evaluate amongst the dental practitioners about their knowledge of the newly enacted amendment to AYUSH postgraduate curriculum which permits AYUSH-trained doctors to perform dental procedures.

Material and Methods

The cross-sectional study was conducted in Department of Oral Medicine and Radiology at Saveetha Dental College, Chennai, Tamil Nadu, India,from January 2021 to February 2021. The study was approved by the Institutional Review Board and Ethical Clearance was obtained (ref no: IHEC/SDC/OMFS-2001/22/419).

Inclusion and Exclusion criteria: All dentist in practice either in an institution or private clinics were included in the study. All the dental students in training were excluded from the study.

Sample size calculation: Simple random sampling was used for the study. A pilot study was done with the sample size of 20 and sample size was calculated using G Power software. Total 123 dentist participated in the study.

Questionnaire

Questionnaires were prepared and distributed among the dentist (N=123) through an online portal system. A total of 15 questionnaire was conceptualised and designed by oral medicine specialist based on the new guidelines. The participants were informed in detail about the design and purpose of the study. The anonymity of the participants was maintained throughout the study. The first part included questions regarding the demographic status. The demographic details included designation, period of practice, age, and email address. The second part had questions regarding the new amendments in AYUSH postgraduate curriculum.

Statistical Analysis

Collected data were entered into a Microsoft Excel 2010 sheet and statistical analysis was done in the IBM software, version 24. Association between the dentist’s awareness of dental procedures permitted under new AYUSH guidelines and the perception of dentists towards ayurvedic practitioners performing dental treatment efficiently was tested by the Chi-square test and the level of significance were set at 0.05.

Results

Out of total, 50 male and 73 female dentists participated in this online survey and 44 (35.8%) participants were between 21-30 years of age, 32 (26%) in the age group of 31-40 years (Table/Fig 1). Seventy nine (64.2%) participants aware of the indigenous alternative system in India. Only 58.5% (N=79) of participants were aware of the term AYUSH (Table/Fig 2). Five questions were related to perception about the new AYUSH guidelines among dentists. Twenty six (21.1%) participants reported that ayurvedic practitioners can perform a dental treatment efficiently while, 63 (51.2%) were unsure of their perception. Fifty six (45.5%) participants answered correctly that Indian Dental Association did not approve the new postgraduate guidelines of AYUSH (2020) (Table/Fig 3). Chi-square test was done to assess the relationship between dentists’ awareness and perception towards new AYUSH curriculum. Significant association was found between the awareness and perception of the dentists about the AYUSH curriculum (p-value<0.001) (Table/Fig 4).

Discussion

The Indian government is undertaking significant improvements in the training and delivery of healthcare in the country. The emphasis is on supporting the practice of traditional Indian medicine with an allopathic system of medicine. With this goal in mind, the government established AYUSH, an indigenous entity within the Ministry of Health and Family Welfare that represents the five traditional branches of medicine (13). The first rules were developed in 2016 after much consideration and conversation, and the final revision to the previous guidelines was authorized and ratified in November 2020. This guideline enhanced modification said that AYUSH practitioners must undergo training to do minor surgical and dental procedures in their area of practice. This new law elicited varied reactions from dentistry and medical professionals. Many dentists in the dentistry sector are still ignorant of the Health Department new suggestion (10). This cross-sectional survey was conducted to evaluate and analyse dentists’ knowledge and perspectives on the new curriculum.

There were 123 responses to this descriptive cross-sectional study. In the current study, 79 (64.2%) were aware of India’s indigenous alternative medical system and only 72 (58.5%) of participants were familiar with the term AYUSH. According to a previous study conducted by Lakshmi GS, 88% of doctors knew what the term AYUSH meant. However, this included allopathic doctors working in a tertiary care hospital (14). The present study only included dentists from one institution, which could explain why there is less awareness of the term AYUSH.

Ayurveda is a holistic approach to healing that goes beyond medicine. Out of total, 61 (49.6%) participants correctly answered this question. According to Singhal S et al., awareness of Ayurveda is high when compared to other systems in AYUSH (11). This statement is supported by our research because half of the participants correctly answered the question. This demonstrates that dentists are more knowledgeable about ayurveda than other healthcare systems. Simultaneously, 76 (61.8%) of participants correctly identified Siddha as originating in South India. This could be because the majority of the participants in the study were from South India.

The new guidelines included in the postgraduate curriculum of ayurvedic studies were known by 53 (43.1%) of participants, 48 (39%) participants were unsure about the answer. About 22 (17.9%) participants were completely not aware of the guidelines. According to the study by Singhal S et al., most of the doctors felt medical students should be familiarized with AYUSH and its advancements (11). Root canal treatment and the removal of mobile teeth are the dental procedures covered by the new guidelines. This question was answered incorrectly by 45 (36.6%) participants. This demonstrates a decrease in dentist awareness of the dental procedures covered by the new guidelines.

Significant relationship was found between dentists’ awareness of new dental procedures and their perception of Ayurvedic practitioners performing dental treatment efficiently. Thirty four (27.6%) respondents stated that ayurvedic practitioners cannot perform dental treatment efficiently, and 45 (36.6%) stated that ayurvedic medicines do not undergo scientific testing before practice. Sixty eight (55.3%) dentists stated that AYUSH cannot be used in emergency dental management, and 71 (57.7%) respondents stated that ayurvedic practitioners cannot handle dental procedure complications. According to a study published in 2020 by Ojha A et al., there is a lack of strong scientific evidence and clinical trials in AYUSH therapies (15).

The Indian government has recognized AYUSH as the Indian medical system. Numerous studies have been conducted to assess allopathic doctors’ knowledge, attitude, and use of AYUSH. According to Ojha A et al., majority of doctors were aware of Ayurveda (69%), Unani (34%), Siddha (32%), Homeopathy (52%) (15). Like the present study, a cross-sectional study regarding the knowledge, attitude and practices to fixed dose combinations use among clinicians and resident doctors were evaluated by Belhekar M et al., this study concluded that the awareness about the recent updates in medicine is highly required for medical professionals (16). One of the studies assessed the knowledge of ayurvedic medicine use among allopathic resident doctors, stated that 99% of residents had no opportunity to learn basics of Ayurveda and the study concluded that interventions were required to increase the knowledge and awareness about Ayurvedic medicine use among the allopathic physicians (17). Several ayurvedic products have been used in the management of dental disease like oral mucosal lesions, periodontal diseases, temporomandibular diseases (18),(19),(20),(24).

According to Roy V, despite the coexistence of ayurvedic and allopathic medicine systems in India for many years, most doctors of one system were unaware of the science, utility, and recent advancements of the other system (23). Previous research has examined physician perception on integrated medicine and found that very few physicians encourage the use of traditional medicine to their patients mainly due to the lack of scientific evidence (24).

Limitation(s)

Limitations of this study include a small sample size. The study was done in a smaller region (Chennai). Therefore, a large group of dentists should be included to provide better external validity. Based on this study, future studies are recommended with a large sample size.

Conclusion

The AYUSH medical system has been officially recognized and promoted by the Indian government. Only 43.1% of dentists were aware of new guidelines added to postgraduate curriculum of ayurvedic studies and 48% were unsure of the approval of these guidelines by Indian Dental association, which states that there is lack of awareness among the dentists. Public awareness of treatment services available in various forms of medicine must be spread, and patients should be given the final say over which form of treatment they would like to receive.

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DOI and Others

DOI: 10.7860/JCDR/2023/56875.17361

Date of Submission: Apr 04, 2022
Date of Peer Review: May 09, 2022
Date of Acceptance: Oct 10, 2022
Date of Publishing: Jan 01, 2023

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: May 04, 2022
• Manual Googling: May 07, 2022
• iThenticate Software: Oct 07, 2022 (12%)

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