Kishor Manohar Rao

JSS Medical College, JSS Academy of Higher Education & Research Mysore · Psychiatry

Background Disorders of mental health are known to affect cognitive functions, hence called as cognitive disorders. Impaired glucose metabolism, insulin resistance, vitamin-D deficiency and oxidative stress are some of the key early events reported to be involved in the pathogenesis of most common cognitive disorders, which include Alzheimer’s dise...

Background: Geriatric psychiatry has yet to receive its due recognition in India. There is increasing evidence of a rise in morbidity, mortality, hospitalization, and loss of functional status related to common mental disorders in the elderly patients. Collaborative care approach, including a clinical pharmacist, is one of the possible approaches...

Medical education in India is undergoing a landmark transformation under the National Medical Commission implementing competency-based medical education (CBME). The CBME approach intends to ensure that medical graduates acquire the competencies needed to fulfill the health needs of the patient and society. This outcome-based approach shifts the foc...

Accurate evaluations and assessments are of prime importance for maintaining the standard of medical training. Traditionally, the battery of assessment tools used as summative and formative assessment’s purpose. But, having an assessment tool of precision is a challenge yet to meet in medical training, especially in psychiatry. The need for an alte...

Art of Teaching Sexual Medicine to Medical Students

India has one of the largest numbers of doctors in the world. It is estimated that more than 1 million doctors are in India. Every year more than 80,000 medical students graduate as doctors from 529 medical colleges in India. Medical profession is considered as more stressful, but mental health is still a subject of taboo in medical profession in...

Background: Medical postgraduates are exposed to more time in patient care and thereby higher stress. Personality is one of the important factors associated with stress. Studies exist in profiling personality traits and also assessing stress in medical professionals. However, in India, to the best of our knowledge, there are only few studies linkin...

Essentials of psychiatry in dermatology and aesthetic practice will indeed add value to the everyday practice. The entire book is conceptualized in manner that professionals should find it easy to use the information in enhancing comprehensive services. More than two dozen well know professionals across India have joined hands to make this book use...

The Medical Council of India (MCI)/NMC recently rolled out the new module on pandemic management,with the intention to train Indian medical graduates to tackle the situation of a pandemic. While this is a welcome step, it is indeed a matter of great concern and disappointment that mental health component has been neglected. The forward of the draft...

According to the World Health Organization by 2030, depression will be the leading cause of global burden of diseases ahead of all health conditions. Depression is an emerging global epidemic with over 350 million people affected. Suicide is a major concern in depression and is also the leading cause of death in Indian youths.India with a populatio...

India is the second largest country by population with 1.35 billion people, and adolescents constitute about 21%. The prevalence rates of depression among adolescents range from 3% among school‑going adolescents to 11.2% in school dropouts in India. Studies have found a significant association between depression and obesity in adolescents. Obesity...

The relationship between human and animal is prehistoric. Pets play an important role in the well‑being of a person. The bond between human and pet is in many ways similar to parent‑child bond. Pets are considered as the providers of unconditional love and support to people who face difficulty to cope up. Hence, pet therapy in mental health is gain...

In relation to the article, “community-based interventions for adolescent psychosexual health: The use of life skills training approaches in sexuality education,” by Sheila Ramaswamy and Shekhar Seshadri, brings into focus an important area in the Indian context. Developing and bringing out a manual intended to be used among adolescents not only in...

Vitiligo is a common acquired, idiopathic, heritable depigmentary disorder of the skin and or mucous membranes, characterized by depigmented macules of varying sizes and shapes. It is a major social and cosmetic concern in India. Vitiligo is the most common pigmentary disorder involving complex interaction of the environmental and genetic factors t...

The novel coronavirus disease (COVID)-19 pandemic is engulfing the world and the deaths are on the rise, 517,337 as per the WHO on July 3, 2020.The whole world is taking all possible measures to prevent the spread of this highly contagious virus. There are serious concerns raised in India about a large vulnerable population, gaps in health care and...

Background: Sleep disturbance is a common but unrecognized problem in adolescents. Light emitting electronic devices negatively influence sleep quality, leading to reduced alertness, increased fatigue, compromised daytime functioning and impaired mood. Aims: The current study aimed to assess the impact of screen viewing on sleep duration, sleep qua...

Depression is common in multiple sclerosis. The prevalence of depression in multiple sclerosis ranges from 19% to 54% depending on the population sample & diagnostic criteria used. Etiologic factors for increasing the prevalence of depression in a demyelinating disease can be both biological and psychosocial and female sex, age< 35 years, family hi...

The COVID-19 pandemic has led to significantly increased levels of stress at the community, at the families and at the individual level. Policy measures have been formulated to address and limit the spread of infection. These measures may have led heightened vigilance, issue of isolation, limited access to basic necessities and financial stress, a...

In the middle of COVID-19 crisis in India and the psychological impact on millions of peoples, is it time to reconsider psychiatry training for Indian medical graduate under the new competency-based curriculum? India has one of the highest numbers of medical colleges in the world and also has over a million doctors, including MBBS graduates working...

Undergraduate medical research has the potential to make valuable and unique contributions to the field of medicine. However, in today's times, undergraduate (UG) research forms a negligible part of the overall research output of any medical college. There are several reasons for this low participation-unavailability of guidance, lack of awareness...

The COVID-19 pandemic has unearthed a great deal of challenges all over the world, none perhaps more demanding than on the medical fraternity, which is pushing itself to its limits. As medical students just entering the fray, and as the future of medicine in India, how does this unique situation impact you? What does it mean for medical education a...

The COVID19 pandemic is an unprecedented disaster. In India, the spread of COVID19 infection and the subsequent lockdown coincided with a crucial period of the annual examination in almost all educational institutions. The pandemic has created hurdles in the conduct of examination due to many reasons, some of which are spread of infection and assoc...

A 35 year old male agriculturist residing in rural area, married and has family with two children, living in a extended nuclear family presented to the emergency in the night with complaints of shaking of hands and body, and hearing voices since 1 day, fatigue since 4 days consumption of alcohol since 8 days, sadness for the last 10-12 weeks. The...

The world Health Organization (WHO) has designated the novel coronavirus outbreak (COVID19) as a pandemic. It is estimated that 125 million to 250 million people in India will be affected and 70% of humanity is likely to be infected within 1 year. The psychological impact can be from stress or economic‐socio‐occupational disruption, and people may...

In the middle of COVID-19 crisis in India and the psychological impact on millions of peoples, is it time to reconsider psychiatry training for Indian medical graduate under the new competency-based curriculum? India has one of the highest numbers of medical colleges in the world and also has over a million doctors, including MBBS graduates working...

The novel coronavirus disease (COVID-19) outbreak, caused by severe acute respiratory syndrome coronavirus 2, has rapidly escalated into a global pandemic which leads to declaration of national health emergency in several countries and is having a profound impact on private health-care systems globally including India in unprecedented manner. Howev...

A 43 year old male patient from rural area, educated up to Pre-university, electronic technician by profession, married and living with his wife and two children, reported to the psychiatry outpatient department complaints of tiredness for 3-4 weeks, feeling worried, fearful about having a corona infection even without any contact or symptoms. The...

Background: In India, there is a large gap between the mental health morbidity in society and the availability of psychiatrists. However, the latest Indian undergraduate medical curriculum does not require any competency in psychiatry to be fulfilled for certification of medical graduates as doctors. Thus, the role of Indian psychiatry teachers is...

207 crucial in effective implementation of curriculum. Training of psychiatric teachers should happen at state and zonal level in a periodic manner. Within the next 3 years, at least one-third faculty members of psychiatry at Indian medical institutions should be trained in the teaching-learning methodologies that are specific to psychiatry. Guidel...

We are in the midst of an unprecedented phase in the history of medical education: lecture classes and clinical postings cancelled, exams postponed and undergraduate students asked to be at home There is uncertainty over when things are going to return to earlier routines. Under the circumstances it is suggested that the medical students could adop...

Background and Objective: Medical education is undergoing a seminal change with respect to curriculum as well as teaching methods, with students in tune with the current developments in the technology and seeking newer techniques to learn medicine. The rapid pace of progression of medical science, and the breadth and depth of material to be learned...

Postgraduate residents in psychiatry will have a lot of new and possibly confronting experiences, and it is during these times that they might look towards a guidance book that can offer insight into the common challenges faced by a postgraduate, especially real-life experiences from people who have transcended similar situations. There is, there...

The Postgraduate in Psychiatry should know ABC of Psychiatry and this multiauthored book provides information on all aspect of Psychiatry PG training and beyond

Background: India has one of the largest health-care systems in the world, and caregivers play an important role in assisting the patients in seeking services, supporting the patient during treatment and also in recovery, as there is a culturally determined emphasis on kinship obligations, with families playing a prominent role in all decisions reg...

The aim of this study is to initiate the Pharmacist-Psychiatrist collaborative patient education in ambulatory care settings. A prospective cohort study was conducted in psychiatry out-patient department of a tertiary care teaching hospital over a period of six months. All the eligible patients were enrolled, and the necessary information was colle...

India has one of the largest numbers of doctors in the world. It is estimated that more than 1Million doctors are in India. Every year more than 60,000 medical students graduate as doctors from 474 Medical colleges in India. Karnataka state alone contributes more than 8000 doctors to medical registry annually. The medical curriculum hardly incorpor...

Background The role of psychological comorbidities in patients with gastroesophageal reflux disease (GERD), a common condition, still remains incompletely understood. Depression may intensify the symptoms and lower quality of life in these patients. In this study, we looked at the effectiveness of mindfulness-based stress reduction (MBSR) in reliev...

Under-reporting of Child Sexual Abuse (CSA) is rampant in India, despite which India has the highest number of CSA cases in the world, the ramifications of which are enormous. Other than the obvious reasons of stigma and fear of the perpetrator, multiple other factors come into play, such as attitudes and responses of guardians, which themselves pr...

Background: Sleep deprivation has a deleterious effect on recovery in postoperative patients as it can lead to potentially dangerous side effects. The stress of poor sleep along with surgical stress can lead to increased sympathetic activity, which causes increase in catabolic processes, wakefulness, postoperative fatigue, hemodynamic instability,...

The mass media is largely regarded as an integral cogwheel in health service delivery, with a decisive influence on public attitudes. Numerous studies identify connections between media use and negative outcomes such as increased depression, suicide, anxiety, substance use, aggressive behaviour, obesity and eating disorders. Digital tools in psychi...

Functional gastrointestinal disorders (FGIDs) are chronic, recurrent, frequently debilitating disorders with no identifiable underlying pathology. They occur due to a complex interplay between biological, psychological, and social factors and are some of the most common conditions encountered in general clinical practice as well as the specialist g...

Background: A caregiver is an individual who provides assistance and assumes the responsibility for the physical and emotional needs of another individual who is incapable of self‑care. Caregiver burden is a universal phenomenon and more than half of the caregivers experience burden in their role as caregivers. There is a paucity of studies to unde...

It was not until a new resident in the Emergency Department (ED) burst into tears in front of me, did I realise the toll that residency in this department takes on a residents’ overall well-being. The ED work culture is unlike any other department. Physicians have to deal with numerous responsibilities and at once- managing patients and their atten...

Educational institutions strive hard for excellence in training of students. Academic issues such as student’s ability to understand the subject, ability to appreciate and apply the learned information, ability to demonstrate skills where necessary, and ability to reproduce the information during the evaluation are key aspects of excellence for any...

Eating disorders are a major cause of physical and psychological morbidity. Young women and adolescents with diabetes, especially Type 1 Diabetes Mellitus (T1DM) are at a high risk for developing disordered eating behaviours (DEB) and eating disorders (EDs). A similar DEB that often goes unrecognized is "Diabulimia" i.e. deliberate administration o...

The word malingering derives from the Latin word “Malum” that means bad or harmful, and in this context refers to the bad intent of the offender’s actions. It is regarded as fraud and may lead to charges of perjury or criminal fraud. In a clinical setting, various presentations include imitation of pain, insistence on the presence of bleeding, alle...