Vijayan Sharmila

Academic dishonesty among undergraduates from private medical schools in India. Are we on the right track

Background: Though doctors are considered to be respectful role models of professionalism and ethics, medical students are no strangers to academic dishonesty. Aim: To assess the academic dishonesty practices among undergraduate students from private medical schools in India. Methods: A pre-tested and validated questionnaire containing 10 commonly done academic misconducts were administered and responses were collected. Results: Out of 166 medical students enrolled in the study, 75% have given proxy for attendance and 49% have copied from others record book. During a theory exam, 74% of students have copied from their friends, 2% have tried to get the question paper before exam and 5% have influenced their teachers by unfair means to get more marks. During clinical/practical exam, 81% have got technical help, 45% had prior knowledge about the exam case, and 54% of them have falsely documented clinical findings. Conclusions: The prevalence of academic dishonesty is high. Academic integrity and ethics should be emphasized to the students which might help them in becoming professional and honest doctors.

Cefotaxime-induced near-fatal anaphylaxis in a neonate: A case report and review of literature

A case of 7-day-old male neonate with cefotaxime-induced near-fatal anaphylaxis is being reported. Child was started on intravenous cefotaxime on day 3 of life in view of early-onset sepsis with pneumonia, following which there was clinical improvement. Child was then shifted out of intensive care to general ward for completion of antibiotic course. One day prior to the planned discharge, child suddenly developed poor sensorium, flaccidity, apnea, and cyanosis within seconds of receiving intravenous cefotaxime and was found to have bradypnea with bradycardia. Prompt resuscitation was carried out with artificial ventilation, adrenaline, and steroids. Spontaneous breathing reappeared and the clinical condition improved.

Unusual birth trauma involving face: A completely preventable iatrogenic injury

Birth injuries involving face are easily recognizable, but are often under-reported. Most of these injuries are associated with face presentation. We report an iatrogenic, but potentially preventable facial birth injury sustained by an unborn child in institutional setup.

A rare case of bilateral ovarian fibroma presenting as Meigs syndrome

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