Depression, Anxiety and Stress Reduction in Medical Education: Humor as an Intervention

Background: In recent years there has been a growing appreciation of the issues of quality of life and stresses involved in medical training as this may affect their learning and academic performance. Objective of the study was to explore the effectiveness of humor when used as intervention in large group teaching over negative emotions amongst students. Method: The present Interventional, Randomized control trial study was carried out on medical students of 4th Semester of RMCH, Bareilly, which has total 90 students. Using simple random sampling lottery method the whole class was divided in two groups-A and B consisting of 45 students each. Group A as control group and Group B experimental group. In first and last lecture of both groups Dass-21 was used as measuring scale, for depression, anxiety and stress and results were compared to see the effect of humor on these three negative emotions. Result: Comparison of Severe and Extremely severe Stress: In Group A 40.54% in class -1 increased to 47.54% in class- 4, while in group B initial 13.15 % was reduced to 0 % (highly significant). Anxiety: In group A, after Class 1 -57.45% increased to 61.11% after class 4, while in group B, after class 1- 23.68% reduced to 2.27% only (highly significant). Depression: In group A, after Class 1 - 40.53% & 41.66 % after class 4 (not significant), while in group B, after class 1- 18.41% reduced to 0% (highly significant). Conclusion: In present study humor was found to be very effective intervention in relieving students on their negative emotions of depression, anxiety and stress to a larger extent. Further research would justify the use of humor as an effective teaching aid in medical education

On Finitude: Life and Death Under Neoliberalism

Essay in contemporary Indian photography, for Fotofest 201

Subjects in Difference: Walter Benjamin, Frantz Fanon, and Postcolonial Theory

This essay aims to rethink historical difference in light of Walter Benjamin’s formulation of mimesis and Frantz Fanon’s phenomenology of difference. Divided into three parts, the essay engages Dipesh Chakrabarty’s account of historical difference, considers how an understanding of mimesis might safeguard against some of the philosophical pitfalls within Chakrabarty’s formulation, and revisits Fanon for an explication of a theory of mimesis and difference that may be the grounds for a renewed understanding of historical difference. The essay makes a case for the relevance of Frankfurt School dialectics for postcolonial problematics

Gender norms and taboos as manifested in dichotomies of space

Dichotomies are a way we simplify interconnected hierarchical complexities of race, class, ethnicity, gender and power plays in our society. The division between male and female has been the primary dichotomy I have focused on in this discussion. My argument is that dichotomies create a cyclical loop which reinforces social injustice between genders in societies cross culturally and across time. This cycle of gender division includes cultural, built and activity patterns. There is no single point of origin of these patterns, but rather a constant loop of reinforcement from one pattern to the other. What I am trying to do here is not judge or criticize these societies and their values; rather I am evaluating them comparatively with other societies based on the status of women. I have found these cultural, built and activity patterns by documenting examples that exist cross culturally and across time. In order to do this I had to set up some criteria for selecting my case studies. I have divided the examples into four categories: 1. Egalitarian subsistence societies having equal status for women with respect to men and other women in similar cultures. 2. Hierarchical societies having lower status of women with respect to men and other women in a similar culture. 3. 19th and 20th century case studies in urban societies having lower status of women with respect to men. 4. 19th and 20th century case studies in reforms and utopian proposals that aimed at making egalitarian societies with equal status among men and women. I found that the public/private cultural pattern was the most recurring pattern. It is present in egalitarian, hierarchical and 19th and 20th century Victorian society. This pattern exists cross-culturally and across time. In the egalitarian subsistence societies, dichotomies are not understood as a set of oppositions such as superior and inferior. Their belief in harmony and balance in nature emphasized equality, unlike the hierarchical societies. In hierarchical subsistence societies, dichotomies divided people by assigning them public or private roles. In 19th and 20th century Victorian society an ideal gentleman was supposed to have serious, dignified, chivalrous qualities and an ideal lady was supposed to be moral, beautiful, cheerful and elegant. This shows that the cultural patterns were enforced upon individuals and they had to act accordingly in the society. I also looked at the utopian solutions of making childcare, laundry, and food preparation community activities. These radical solutions were focused on improving the cultural, built and activity patterns simultaneously. I have evaluated these case studies comparatively based on the status of women. While it’s difficult to state a solution to accommodate the layers of gender segregation that exist within cultural, built and activity patterns, I don’t think proposing an overtly radical solution is the right direction either. I would strongly recommend more awareness of feminist education in architecture and engineering schools. There should be more incentives and scholarships for women in traditionally male dominated professions like architecture and engineering. Learning about these patterns of gender segregation in different societies is also a way to begin this cultural progress.Department of ArchitectureHistorical case studies of gender segregated patterns in egalitarian subsistence societies -- Case studies of gender segregated patterns in hierarchichal subsistence societies -- 19th and 20th century case studies for gender segregated patterns in urban societies -- 19th and 20th century case studies in reforms and utopian proposals.Thesis (M. Arch.

Evaluation of correction rates for titanium-alloy and cobalt-chrome-alloy rods in adolescent idiopathic scoliosis

Background: The customary treatment of AIS is spinal fusion with instrumentation using rigid rods. In parallel, agents such as, curve magnitude, points of fixation, level instrument selection, curve flexibility, kind of anchor rods used for patients and post-operative care are the main factors affecting the outcome of surgery.Methods: A total 50 patients was included in the study. The control group, which included 31 patients treated with Ti rods, was compared with an experimental group of 19 patients treated with CCM rods. Correction surgery was performed through posterior approach using rod-rotation maneuver after inserting a pedicle screw in each vertebrae within the fusion. Six-millimeter CCM and six-millimeter Ti rods were used in experimental and control groups, respectively. Pre and postoperative indices of coronal alignment and sagittal alignment were measured.Results: There was no statistical difference between the two groups for age, sex, Risser’s stage, preoperative Cobb’s angle, type and flexibility of curvature. The correction rate of thoracic curve was 71.4±10.2% for the CCM group and 71.8±6.1% for the Ti group. There were no statistical differences between the two groups for all coronal and sagittal factors (p>0.05).Conclusions: AIS cases with double curvature, there was no statistically significant difference between Ti and CCM rods for coronal and sagittal plane correction rates. The derivations from biomechanical studies do not translate into clinical situations