Indian health care professionals' attitude towards spiritual healing and its role in alleviating stigma of psychiatric services

Persons with mental illnesses in India and rest of developing world continue to consult religious/spiritual (R/S) healers or traditional, complementary and alternative medicine (TCAM) professionals prior to seeking psychiatric services that are devoid of spiritual components of care. We aim to understand TCAM and allopathic professionals' perspectives on patients' R/S needs within mental health services, cross-sectional study was conducted at five TCAM and two allopathic tertiary care hospitals in three different Indian states; 393 participants completed RSMPP, a self-administered, semi-structured survey questionnaire. Perspectives of TCAM and allopathic health professionals on role of spirituality in mental health care were compared. Substantial percentage, 43.7 % TCAM and 41.3 % allopathic, of participants believe that their patients approach R/S or TCAM practitioners for severe mental illness; 91.2 % of TCAM and 69.7 % of allopaths were satisfied with R/S healers (p = 0.0019). Furthermore, 91.1 % TCAM and 73.1 % allopaths (p = 0.000) believe that mental health stigma can be minimized by integrating with spiritual care services. Overall, 87 % of TCAM and 73 % of allopaths agreed to primary criterion variable: 'spiritual healing is beneficial and complementary to psychiatric care.' A quarter of allopaths (24.4 %) and 38 % of TCAM physicians reportedly cross-refer their grieving patients to religious/TCAM healer and psychiatrist/psychologist, respectively; on logistic regression, significant (p < 0.05) predictors were clinical interactions/references to r/s healers. Providing spiritual care within the setup of psychiatric institution will not only complement psychiatric care but also alleviate stigma against mental health services. Implications on developing spiritual care services like clinical chaplaincy are discussed.

Spontaneously chiral domains of an achiral bent-core nematic liquid crystal in a planar aligned device

An achiral fixed bent-core nematic liquid crystal in an antiparallel aligned planar device is observed to form three distinct domains. Regions are observed which are achiral planar, as well as domains displaying both positive and negative chirality that are stable over a significant temperature interval. In such a device the presence of spontaneous positive and negatively twisted domains is highly unusual. By studying the electro-optics of the device relevant director structures are inferred, and it is additionally found that a sufficiently large applied electric field will drive the chiral domains into the achiral state.

Biaxial smectic A liquid crystal in a pure compound

The synthesis and characterisation is reported of a low molecular weight organic compound to exhibit the biaxial smectic A (SmAb) phase, which shows a transition from the partial bilayer uniaxial SmAd phase to the SmAdb phase as the temperature is lowered.

Banana-shaped mesogens: observation of a direct transition from the antiferroelectric B2 to nematic phase

The synthesis and characterisation of the first banana-shaped mesogens which exhibit a direct transition from the antiferroelectric B2 phase to the nematic phase are reported.

Bacterial contamination of anterior chamber during IOL surgery

PURPOSE

To study the nature and frequency of bacterial contamination during cataract surgery.

METHODS

The preoperative smears from the conjunctiva and anterior chamber (AC) fluid aspirates during extra-capsular cataract surgery (ECCE) with posterior chamber intraocular lens (PCIOL) implantation in 40 eyes were analysed for aerobic and anaerobic bacteria. Any change in the bacterial strains isolated before and after cataract surgery was also studied.

RESULTS

AC fluid aspirates were positive for bacteria in 15 eyes (37.5%). Coagulase-negative Staphylococcus was the most common aerobe (39.4%) and Propionibacterium acnes the most common anaerobe. Of the 15 cases with positive AC fluid cultures, 6 showed an organism in the AC aspirate different from the conjunctival smear.

CONCLUSION

Clinically there was no endophthalmitis in any of the eyes. Factors such as preoperative antibiotic use, the antibacterial properties of aqueous, or low inoculum size could explain this. The preoperative conjunctival smear may not be useful in predicting the AC fluid contamination or outcome of cataract surgery.