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Annals of African medicine

ISSN 0975-5764

3 papers in the library · publishing 2025-2026

Papers

Comparison of Recurrence of Malignancy Following Two Opioid-free General Anesthesia Regimens versus Standard Care Using Opioids: A Retrospective Analysis.

Annals of African medicine June 11, 2025 Sunil Rajan, Gayathri Sreekumar, Roniya Ann Roy et al.

Avoiding opioids and volatile anesthetics during surgery may reduce immunosuppression. In patients with advanced head-and-neck malignancies undergoing excision with reconstruction, those who received an opioid-free anesthesia regimen using intravenous lidocaine had a significantly lower rate of cancer recurrence within one year after surgery compared to those who received a regimen using dexmedetomidine with ketamine or standard morphine-based anesthesia. Hospital stay was also shorter in the lidocaine group. Durations of surgery and intensive care unit stay were similar across groups, and mortality at one year was comparable.

Mindfulness Meditation: An Interventional Tool to Attenuate Cardiovascular Reactivity to Mental Stress in Undergraduate Medical Students.

Annals of African medicine April 16, 2026 Ragini Rajappa, Ved Prakash Varshney, Mona Bedi

A single session of mindfulness meditation reduced systolic blood pressure reactivity to acute mental stress in thirty healthy male Indian undergraduate medical students. In a pre- and post-comparative interventional study, participants showed a statistically significant decrease in systolic blood pressure reactivity after meditation compared to before, while diastolic blood pressure and heart rate reactivity did not change significantly. The authors conclude that even a one-time mindfulness meditation intervention can influence cardiovascular reactivity to mental stress.

Health and Emotional Modulation through Vipassana Meditation: A Pre-experimental Study.

Annals of African medicine December 9, 2025 Tilottama Wankhade, Sujata R Lavangare, Akanksha P Dani

A 10-day Vipassana meditation camp was associated with small improvements in physical health and emotional well-being among 152 first-time participants. Average weight decreased by 0.8 kg, body mass index dropped by 0.3 kg/m², random blood sugar fell by 8.8 mg/dl, and oxygen saturation rose by 0.92%. Systolic and diastolic blood pressure showed slight reductions. Emotional responses shifted toward reduced fear and increased feelings of peace and well-being. The authors suggest Vipassana meditation may serve as an adjunct to conventional treatment for chronic illnesses, but note that randomized controlled trials are needed to confirm these findings.