Background The new zoonotic viral infection, monkeypox, is a global health issue. Our study aimed at studying the epidemiology, clinical presentation, complications, case fatality rate, and transmission among the present cases of monkeypox infection. Methods Articles were searched in PubMed, Google Scholar, and Science Direct databases using the keywords “Monkeypox” [MeSH] or “Monkeypox virus” (MeSH). Narrative reviews, conference abstracts, commentaries, and articles in languages other than English were excluded. Results From three databases, 1442 studies were identified. Seven hundred ten articles were excluded because they included data before 2022, leaving 732 items for screening. After filtering 320 data due to data duplication, 412 remained. Due to the inclusion of systematic reviews, meta-analyses, reviews, comments, and articles in languages other than English, 257 were excluded. Eligibility based on full-text review was applied to the remaining 155, excluding 129. So, the study covered a total of remaining 26 articles. We studied 2352 confirmed cases from published literature, accounting for approximately 4% of infected cases worldwide. Around 81.71% of patients have a bisexual or men having sex with men (MSM) preference. Approximately 30.18% of confirmed cases were HIV positive. Male sex was also identified as a risk factor in our review. Conclusion Monkeypox human-to-human and human-to-animal transmission are rising. Thus, it is essential to do research on the prevention, clinicodemographic trends, and treatment of monkeypox. Understanding this will enable us to treat monkeypox patients with a targeted and focused approach.
Background: The National Exit Test (NExT) exam is a proposed common entrance exam for both licensing to practice medicine and admission to postgraduate medical courses in India. Recently NMC published a draft for NExT Regulations to seek comments from the students, faculty and stakeholders. So, we aimed to assess the perception of MBBS students, graduates and medical faculty towards NExT Regulations to ensure a smooth and hassle-free implementation of NExT Exam. Materials and Methods: A cross-sectional questionnaire based study was conducted online during January 2023. The study question-naire included various types of questions: yes/no/maybe, single best response, likert scale and open ended questions pertaining to the specific points about the NExT draft. The questions were designed under the main domains of: (1) Participant characteristics, (2) General acceptance about NExT, (3) Feedback for NExT Step 1, and (4) Feedback for NExT Step 2. Results: Of the 1412 participants, 873 (61.8%) participants felt that there was ‘No Need’ to replace the conventional theory exam. 895 (64.4%) participants preferred to have a single paper exam. 1141 (80.8%) opined that there should be ‘Single best response type Multiple choice questions (MCQs)’ only. Of the 1412 participants, 559 (39.6%) opined that the score should be valid only for 1 year and 550 (39%) opined it to remain valid for 3 years. 1042 (73.8%) participants felt there was No need for NExT Step 2. Conclusion: Though the implementation of NExT was planned with an intention to elevate the quality of medical education and bring a certain degree of uniformity across the nation, the policy level thought process did not fully percolate to the masses, especially students. The reasoning for the changes is not strongly supported by previous year data in the proposed draft. Therefore, there is a need to allevi-ate the anxiety among students about the NExT exam before implementing it. Based on our study we were able to give our suggestion to the proposed NExT draft.
Background: The new zoonotic viral infection monkeypox is a global health issue. Our study aimed at studying the epidemiology, clinical presentation, complications, case fatality rate, and transmission among the present cases of monkeypox infection. Methods: Articles were searched in PubMed, Google Scholar, and Science Direct databases using the keywords 'Monkeypox' [MeSH] or 'Monkeypox virus (MeSH). Narrative reviews, conference abstracts, commentaries and articles in language other than English were excluded. Results: Among 2352 confirmed cases studied from published literature which account for approximately 4% of infected cases worldwide. Around 81.71% of patients have a bisexual or Men having Sex with Men (MSM) preference. Approximately 30.18 % of confirmed cases were HIV positive. Male sex was also identified as a risk factor in our review. Conclusion: As monkeypox human to human and human to animal transmission is rising. Researching preventive, clinicodemographic and therapeutic related to monkeypox is therefore crucial.
The National Exit Test (NExT) is planned to have a nationalised uniform assessment system for Indian medical graduates. This, being a new concept in India, the preparedness of students for such assessment needs to be under consideration. USMLE is a time-tested model in the United States of America. NBME test scores in the USA are intended for summative assessment of medical students and closely mimic the USMLE scores. We propose a model of nationalised formative and summative assessments as a preparedness tool for NExT that can be adapted by the NMC to have uniform and high-quality holistic assessment tools for Indian medical graduates.
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