{"title":"Exploring factors that affect learning process of high achievers and low achievers and the role of medical teachers","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/kleuhsj.kleuhsj_534_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_534_22","url":null,"abstract":"The syllabus in the medical curriculum is extremely vast, and in order to attain the intended learning competencies, students have to take intensive efforts to continue or expedite the learning process. Learning in itself is a complex process, as a number of factors play their part to ensure that a medical student can understand and apply the concepts or even perform the skills/procedures. In general, factors affecting the learning process have been broadly categorized into intrinsic (viz. Learning style) and extrinsic (such as learning environment and support from teachers). It becomes extremely crucial that teachers should be aware of these differences to ensure that learning can be facilitated among both types of students. To conclude, a number of factors are responsible to impact the learning acquisition process among medical students. It is important that a teacher should be aware of these wide gamut of factors, so that they can play a defining role in neutralizing some of these factors and encourage students to continue to learn.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76466010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Arunkumar, Raghunath Shanbag, S. Pai, Santosh S Garag, GY Pooja, Umesh R. Dixit
{"title":"Clinical and histopathological correlation of unilateral nasal mass – A retrospective observational study","authors":"J. Arunkumar, Raghunath Shanbag, S. Pai, Santosh S Garag, GY Pooja, Umesh R. Dixit","doi":"10.4103/kleuhsj.kleuhsj_96_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_96_22","url":null,"abstract":"INTRODUCTION: Nasal obstruction and nasal discharge are the most common symptoms in otorhinolaryngology practice; they may be unilateral or bilateral. Unilateral persistent nasal obstruction may indicate the presence of sinonasal lesion that could be inflammatory or neoplastic. Biopsy and histopathological examination of the nasal mass will give the definitive diagnosis, which was correlated with the clinical diagnosis. MATERIALS AND METHODS: This study was conducted retrospectively in a tertiary health care center after collecting the data of patients who underwent biopsy or surgical excision of unilateral nasal mass during 6 years period from January 2015 to December 2020. A total of 208 patients who met the inclusion criteria were included in the present study. These cases were subjected to a detailed history, clinical examination, nasal endoscopy, computed tomography scan, biopsy or excision biopsy, and histopathological examination. The data collected from these cases were compiled, analyzed, and conclusions were drawn. RESULTS: Of these 208 patients, majority (127; 61.1%) had non-neoplastic lesions while 81 (38.9%) had neoplastic lesions based on clinical diagnosis. Among patients with neoplastic lesions, 50 (61.7%) were benign and 31 (38.3%) were malignant. CONCLUSION: Antrochoanal polyp is the most common type of unilateral nasal mass, followed by inflammatory polyp among nonneoplastic lesions and hemangioma and inverted papilloma among neoplastic lesions in this study. Majority of the patients were in the age group of 11‒20 years. Nasal obstruction and rhinorrhea were the most common symptoms in majority of patients.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85256671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of systematic training on morphophysiological and motor ability profiles of Indian young male kayakers","authors":"Tamoghni Manna, Snehunsu Adhikari, A. Syamal","doi":"10.4103/kleuhsj.kleuhsj_585_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_585_22","url":null,"abstract":"CONTEXT: Little information is there on the training effect on junior Indian kayakers. Hence, it is of great interest to explore the influence of systematic training on morphophysiological and motor ability profiles of Indian young male kayakers. AIMS: The aim of this study was to find out such a training intensity that would be suitable for junior athletes to reach the zenith of their success. SETTINGS AND DESIGN: This was carried out in the center of Jagatpur, Sports Authority of India on 11 male kayakers. The training program was divided into eight phases. MATERIALS AND METHODS: Body height, body weight, body mass index, standing broad jump, standing vertical jump, trunk flexibility, 6 m × 10 m shuttle run, bench pull test/4 min, bench press test/4 min, sit-ups/min, push-ups/min, medicine ball throw, maximal oxygen uptake, 60 m standing start for anaerobic speed endurance, 2.4 km run, and hemoglobin (g%) were measured by the standard procedures. STATISTICAL ANALYSIS USED: Training phase differences were determined by analysis of variance, then Schiff's Post hoc test was performed with confidence levels at P < 0.001, P < 0.01, and P < 0.05. RESULTS: Performing time of 60 m standing start (sec) and 6 m × 10 m shuttle run (sec) was significantly decreased at P < 0.05 and P < 0.01. Standing vertical jump performance (cm), sit up/min, and push-up/min were significantly increased at P < 0.001, P < 0.05, and P < 0.05, respectively. Bench press performance/4 min and hemoglobin content were significantly improved at P < 0.001. CONCLUSION: Improvement and betterment were noted in performances even in formally trained athletes. A modified training protocol may be adopted for further improvement.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84503598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nirupama Kulkarni, Sarwamangala Nanjayyanamath, D. Usha, Sanatkumar B Nyamagoud
{"title":"Bilateral perisylvian syndrome management and drug-related problems","authors":"Nirupama Kulkarni, Sarwamangala Nanjayyanamath, D. Usha, Sanatkumar B Nyamagoud","doi":"10.4103/kleuhsj.kleuhsj_513_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_513_22","url":null,"abstract":"Perisylvian syndrome is a noncurable condition characterized by polymicrogyria in the perisylvian or perirolandic region. Perisylvian means the region or area of the brain that is responsible for language. The bilateral perisylvian syndrome is a congenital neurological condition marked by abnormal neuron distribution in the cortex. We report the case of a 21-year-old female patient with the complaints of recurrent generalized clonic–tonic seizures with intellectual development disorder, loss of consciousness (5–10 min), blurring of vision, poor academic performance, slurring of speech, and history of clubfoot. An intelligence quotient assessment was conducted, and the result showed borderline intelligence. She was diagnosed with a case of bilateral perisylvian syndrome with recurrent seizure disorder with intellectual development disorder and she was treated with anticonvulsant medications.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82705615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative evaluation of antifungal efficacy and potency of soft liners incorporated with powder extracts of Lawsonia inermis and Withania somnifera on the growth of Candida albicans – An in vitro study","authors":"R. Jaiswal, Hema Kanathila, Ritiha Uppin","doi":"10.4103/kleuhsj.kleuhsj_36_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_36_22","url":null,"abstract":"CONTEXT: Denture relining materials are soft and resilient materials used in the treatment of patients with denture soreness. Studies have concluded that rugged surface of the liners allows the sticking of the Candida albicans and later gives rise to a condition called denture-induced stomatitis. AIMS: The aim of this study is to evaluate and compare the antifungal efficacy and potency of denture soft liners incorporated with powder extract of Lawsonia inermis and Withania somnifera on the growth of C. albicans. MATERIALS AND METHODS: A total of 105 samples were taken in this in vitro study and was divided into three groups: To check for the antifungal activity with 35 samples each. L. inermis and W. somnifera powder extract were incorporated in soft liner at 1%, 3%, 5%, and 7% concentration and the antifungal efficacy against C. albicans was tested by calculating the diameter of inhibition zone for 1, 7, and 14 days. Statistical analysis used: Subgroup analysis was carried out using one-way analysis of variance (ANOVA) test. Pair-wise comparisons were carried out through Tukey's multiple post hoc procedures. RESULTS: When comparison of four subgroups (1%, 3%, 5%, and 7%) was done with the mean zone of antifungal efficacy at 1st day, 7th day, and 14th day time points in both the groups by one-way ANOVA, statistically significant results were obtained with P of 0.0001. CONCLUSIONS: L. inermis and W. somnifera natural herb extracts have shown to have antifungal activity against C. albicans and can be used as an alternative for the synthetic antifungal drugs.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76052281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Rajanna, Satyanarayana Narayanashetty, Yesheswini Naik, Vaibhav S. Bellary, Chethan N
{"title":"Procalcitonin levels in COVID-19 patients in a tertiary care center","authors":"A. Rajanna, Satyanarayana Narayanashetty, Yesheswini Naik, Vaibhav S. Bellary, Chethan N","doi":"10.4103/kleuhsj.kleuhsj_81_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_81_22","url":null,"abstract":"BACKGROUND: Procalcitonin (PCT) is a glycoprotein calcitonin prohormone released by the thyroid parafollicular cells. In case of a microbial infection, PCT synthesis can be stimulated by the elevation of proinflammatory cytokines, including interleukin-6, interleukin-1b, and tumor necrosis factor-α. These mediators are massively involved in the so-called cytokine storm, typical of the progression from the viremic to the hyperinflammatory stage of COVID-19 and characterized by the onset of respiratory symptoms and interstitial pulmonary infiltrates. Thus, PCT elevation may represent a direct consequence of the COVID-19 cytokine storm and could also be interpreted as a “viral sepsis” syndrome. AIM: (1) To estimate serum PCT levels in patients with COVID-19 infection. (2) To access PCT level as a predictor of mortality. MATERIALS AND METHODS: A cross-sectional study was conducted on a total of 200 patients in Bengaluru during the study period from March 2021 to July 2021. A case record form with follow-up chart was used to record the duration of disease, history of treatment, and complications. Patients underwent biochemical investigations and PCT level. RESULTS: The study includes 200 patients; the majority were above 50 years of age group. Out of 200 patients, 170 were discharged and 30 died. The mean PCT level was 4.44 ± 45.34 ng/ml. PCT in those who are discharged was 1.25 ± 8.81 ng/ml and compared to those who died was 28.06 ± 128.4 ng/ml. This difference was statistically significant (P = 0.00). CONCLUSION: PCT can be used as a prognostic biomarker in COVID-19 patients; initially elevated levels may be used as a prognostic indicator of severity, deteriorating clinical picture, and even mortality.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77424493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The burden of neurological disorders in India and globally","authors":"J. Rissardo, Ana Letícia Fornari Caprara","doi":"10.4103/kleuhsj.kleuhsj_127_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_127_22","url":null,"abstract":"","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78891463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multidisciplinary approach in the management of large infected periapical cystic lesion in the mandibular anterior region with platelet-rich fibrin","authors":"Kiranmayi Thote, P. Reddy, P. Teji, S. Hugar","doi":"10.4103/kleuhsj.kleuhsj_315_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_315_22","url":null,"abstract":"Periapical cysts are considered as the most prevalent odontogenic cystic lesions of the jaws. These cystic lesions are usually asymptomatic; however, once infected, they result in tumefaction of the affected region. Current noninvasive diagnostic methods such as computed tomography, magnetic resonance imaging, and cone-beam computed tomography help in accurate assessment of size and nature of these lesions, which determine proper treatment planning and prognosis of the affected tooth. Management of these cystic lesions depends upon their extent. Periapical localized cysts can be managed by nonsurgical root canal therapy, whereas large periapical cysts require multidisciplinary approach involving an endodontist and an oral surgeon. Accelerated healing of soft and hard tissues near these lesions can be done using tissue engineering scaffolds such as platelet-rich fibrin and platelet-rich plasma. This case report presents successful multidisciplinary management of a large infected periapical cyst which was associated with mandibular incisors.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86340792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vikas Gupta, S. Chawla, S. Goel, Ashutosh Kumar Singh
{"title":"Skin problems among nurses due to personal protective equipment: A cross-sectional study from COVID-19 hospital","authors":"Vikas Gupta, S. Chawla, S. Goel, Ashutosh Kumar Singh","doi":"10.4103/kleuhsj.kleuhsj_256_21","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_256_21","url":null,"abstract":"BACKGROUND: Nursing staff are at much greater risk of infection due to the exposure to the highly infectious bodily fluids and droplet nuclei and needed the use of personal protective equipment (PPE) to reduce the transmission risk. AIM: The present study was conducted to estimate the prevalence of skin injury and its type due to PPE usage nursing staff. MATERIALS AND METHODS: This descriptive cross-sectional study was conducted after obtaining the institutional ethical approval in dedicated COVID-19 hospital for a period of 4 months among 144 nursing staff wearing Grade 2 and 3 PPE kit. Study subjects were approached through social networking websites and survey questionnaire (Google Forms) according to relevant guides; research literature was used for collecting the details regarding baseline, duty, and skin injury characterization. Chi-square analysis was used to find the association between dependent and independent variables and an association was significant for P < 0.05. RESULTS: It was observed that 54.7% of nursing staff were working for 6 or more hours and 16.5% of subjects were wearing the PPE kit for 5 or more hours per day. 86.3% of subjects have suffered from skin injury after PPE usage. The most common symptoms/signs for the skin injury occurred were indentation and pain on back of ears (61.9%). CONCLUSION: The skin injuries of PPE among the nursing staff may result in reduced morale for overloaded work and made them anxious, so an effective preventive measure should be adopted.","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80535972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complexities of immune- regulation in COVID- 19","authors":"H. Gupta","doi":"10.4103/kleuhsj.kleuhsj_95_22","DOIUrl":"https://doi.org/10.4103/kleuhsj.kleuhsj_95_22","url":null,"abstract":"","PeriodicalId":13457,"journal":{"name":"Indian Journal of Health Sciences and Biomedical Research (KLEU)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89842619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}