Evaluation and perception of MBBS first year students regarding early clinical exposure

Background: Evaluation and perception of MBBS first year students regarding early clinical exposure (ECE). The goals of ECE are to provide significance to basic sciences along with expansion of medical knowledge so as to establish the cognitive component of professional learning. Medical council of India has given new curriculum for MBBS for undergraduate medical education in which ECE is one of the reforms to improve quality of medical education. Methods: The study was conducted in the department of physiology, Peoples college of medical science and research centre Bhopal. The study duration was one year, 150 students of MBBS first year were included in study. All didactic lecture on systems was delivered mainly on respiratory physiology. It was vertically integrated with department of medicine and is followed by hospital visit. During hospital visit students was divided in 6 groups of 25. Clinicians was exposing the students to the relevant patients and discuss important symptoms and examination/findings on the patients. To assess whether the skills gained through ECE helped the students in the physiology classes of clinical examination, OSCE (Objectively structured clinical examination) was arranged before and after the intervention. Results: The post OSCE scores are better than pre OSCE scores. Perception of students toward ECE they have better understanding and retention of topic. Conclusions: ECE is a good tool for teaching and learning for first year MBBS

Comparative study of evaluation techniques in physiology clinical practicals by objective structured practical examination verses traditional practical examination

Background: Objective structural practical examination assesses students by evaluating their knowledge, attitude, communication skills, interpersonal skills, ethical issues and professional judgement. Objectives were to compare the traditional practical clinical examination with objective structured practical examination. To establish the relation between the TCE and OSPE. To take the feedback from students about the study. Methods: This interventional longitudinal study was conducted on 100 first-year medical students. They were divided into 4 practical batches each consisting of about 25 students. In TCE each student performed a clinical skill, followed by viva voce on the RS. Assessment of each student were done on the bases of overall performance. In OSPE, students were provided an OSPE map and a written instruction list before the start of the examinations, and they move from one station to another following the audible ring by the timekeeper. Three observation station, six unobserved stations with questions relates to the procedural stations arrange in physiology practical laboratory. An examiner was provided with prevalidated checklist to mark according to the observed procedure. Results: Marks obtained during OSPE mean was 11.07 was more effective than marks obtained during TCE mean was 8.34. Most of students strongly agreed that OSPE was well structured, performance based, more objective as compared to TCE. Conclusions: OSPE is a good tool for practical assessment as compared to TCE to improve students’ learning process

SEDENTARY BEHAVIOR IN KITCHEN IS LIABLE TO FAT ACCUMULATION AND CARDIO-METABOLIC RISK

ABSTRACTObjective: Sedentary habits are considered one of the most important reasons for various cardiovascular complication and risks. Taking into thisaccount the objective of the present study was to to explore the empirical association between accumulation of fat and heart health status among nonsedentaryand sedentary habits in kitchenof our modernized society.Method: The current study included 100 women (22-40 years old). Workers who met the inclusion criteria were assigned in to two groups: Group (I)Non-sedentary workers (n-58) and Group (II) - sedentary workers (n-42). Commonly, workers which used to do simple movement work in kitchenwere considered as control and which mostly worked at one place in kitchen for more than 6-hours of total working schedule (8–hours). were includedin sedentary workers, Anthropometric measurement like body fat ( (%waist circumference(WC), waist hip (WH) ratio, and heart rate variability(HRV)were measured and analyzed by the independent student ʻtʼ test, followed by Pearson correlation and Linear regression.Result: we observed, there was significant increase in body fat ( (%, WC, WH ratio and sympathetic dominance among sedentary participants whencompare to non-sedentary participants. There was significant negative correlation between LF and HF, body fat and HF, as well as WH ratio and HF,and significant positive correlation between body fat and LF as well as WH ratio and LF. Conclusion: These results suggest that sedentary behaviour in kitchen is associated with accumulation of adiposity and alteration of sympatho-vagalbalance, may lead to cardiometabolic risk in adult women.Key words: Body fat distribution, Heart rate variability, Sedentary habit, physical activity

Dermatoglyphics patterns in patients suffering from primary amenorrhea and control population

Background: Dermatoglyphics is branch of medical science, which deals with the study of epidermal ridges and their configuration on the palmer region of hand and finger and planter region of foot and toes. Inspection of skin ridges provide a simple, inexpensive means of information to determine whether a given patient could have a particular chromosomal defect. Amenorrhea is defined primary when menarche does not occur by the age of 16 years in a girl with complete secondary sexual development. In the present study an attempt has been made to correlate primary amenorrhea and dermatoglyphics. Method: 40 normal females with primary amenorrhea were taken as case and 40 normal females with normal menstrual cycle were taken for study. Dermatoglyphic prints were obtained using ink method. Result: The mean value of atd angle shows statistically significant increase in patients than that of controls. Frequency of thenar/ ID1 pattern, ID2area, ID3area, IDarea in a both right and left hands of primary amenorrhea patients and in control is insignificant. Similarly, there is increased frequency of hypothenar area pattern in patients as compared to controls in left hand, which is found to be statistically significant. Conclusion: Primary amenorrhoea and Dermatoglyphics, both have the suspected multifactorial (genetic and environmental) aetiologies. Dermatoglyphics, due to their suspected genetic aetiology. use for prognosis of disease and also the identification of people with the genetic predisposition to develop certain disease or early onset of symptoms

Variation in patterns of superficial vein of cubital fossa

Aim: To determine anatomical variations of superficial veins of cubital fossa. Background: The cubital fossa Veins lie superficially in the subcutaneous tissue and not paired with any artery, they are easy to view and access. The superficial veins include the cephalic, basilic, median cubital, and antebrachial veins and their tributaries. The knowledge of superficial venous distribution of the cubital fossa is important, not only from an anatomical-clinical and surgical point of view, but also anthropologically and biologically. Materials and Methods: The study done on120 males and 30 females were randomly selected from among the rural area of central India which also include the students and staff members of J.N.M. College Sawangi Wardha (M.S.) 150 cases of right upper limbs and 150 cases of left upper limbs. After taking the subject's consent, the superficial veins of the cubital fossa were made prominent by using tourniquet. The patterns of cubital veins were marked on skin and photograph are taken. Results: the patterns of arrangement of superficial cubital vein observed are as follow. Type I –MCoV joining with the CV and BV in 51%., type II CV bifurcating intoMBV and MCV which join BV and ACV respectively, Type III-MVF bifurcating in MBV and MCV 9.66%., Type IV- 7.66%subjects of present study the CV terminates in to BV and ACV runs separately, In Type V- 3% of subjects the CV communicating directly with BV and ACV was absent and Type VI –A large single CV ascending upwards without any communication with other veins. 3 of 300 subjects i.e. 1%. Conclusion: Numerous studies in different races and ethnic groups have shown similarities and differences in the deposition of the superficial veins of the cubital fossa. Various procedure should be perform with caution bearing in mind the anatomical variation present in these region

Grip Strength and Impact on Cognitive Function in Healthy Kitchen Workers

Hand grip strength is often considered may predict cognitive functioning and has been established as associates of cognitive performance with individual differences in some particular cross-sectional studies. However, little is known about hand grip strength and cognitive performance in the elderly individuals, and it is not known whether changes in hand grip strength may be associated with preservation/decline in cognitive functioning. We have studied the impact of hand grip strength on cognition function in healthy kitchen workers. Participants (n = 90, age range: 25–40 years) randomly assigned in to two groups according to their nature of work: Group I-Control group (n = 47) - workers recruited for simple work such as dusting, cleaning dining tables and floor. Group II-Study group (n = 43) - workers recruited for firm work such as cooking large quantity of food, kneading dough, rolling chapattis, cut and sauté the vegetables and dish washing. For the analyses, we used at dominant and non- dominant hand, hand grip strength (HGS), reaction time task, sensory disability test (SDT) and cognitive function test (CFT) among both the groups. We observed that visual reaction time (VRT) and auditory reaction time (ART) were significantly improved in dominant hand of study group, when compare to control group, however it was comparable in non-dominant hand among both the groups. In addition to, among all control and study group female workers there was significant positive correlation between VRT & ART and significant negative correlation between at dominant hand HGS & VRT as well as between at dominant hand HGS & ART. We also observed that dominant hand HGS was a significant predictor of VRT and ART and however there was no any significant variation in body mass index (BMI), sensory disability test (SDT) and cognitive function test (CFT) among both groups. We found that muscle strength (as measured by hand grip strength) was associated with improved reaction time. Hence by using a simple muscle strength test, is one way of obtaining useful information for the development of nerve-muscle coordination. Increased handgrip strength would be associated with preservation of cognitive function