Browsing by Author "Keshwar, S"
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Publication Evaluating the Impact and Feasibility of Case-Based Learning in Enhancing Histopathology Education among Dental Students(Kathmandu University, 2025) Shrestha, A; Shrestha, S; Keshwar, S; Raut, T; Rimal, JABSTRACT Background Oral pathology specialty focuses on the diagnosis and management of oral and maxillofacial pathologies with an extensive study on histopathology. Teaching and learning histopathology have always been a challenge both for the students and the teachers. The students usually get deviated when they face difficulty to integrate clinical and histopathological findings. Objective A need for an intervention to bridge the gap was realized and a study to assess the impact and feasibility of case-based learning among dental students was planned. Method A cross-sectional study was conducted introducing case-based learning in practical classes of oral pathology among 58 undergraduate dental students. Thirty students were randomly selected for case-based learning group and the remaining as control group. Multiple paper-based cases of oral cancer were designed. A self-designed pre and post-test along with a post-intervention assessment using modified essay questions were designed and applied. Result Significant differences in the scores between pre- and post-intervention questionnaires were observed within the case-based learning group (p < 0.0001), however not among the control. Similarly, a significant difference in the modified essay question scores was also observed between the study groups. Most of the study participants agreed that it benefitted their personal, professional as well as communication skills. The students expressed strong enthusiasm for learning with case-based learning. Conclusion Case-based learning is an effective method and practiced in a multidisciplinary context. Regular practice of case-based learning can create an interactive learning environment, wherein active participation of the students is promoted. Moreover, this approach can help students to integrate clinical with pathological findings for proper management of the patients. KEY WORDS Case-based learning, Learning environment, Oral pathologyPublication Knowledge, Attitude and Practice of Disposal of Unused, Unwanted and Expired Medicines among Healthcare Professionals(Kathmandu University, 2022) Sarraf, DP; Rauniar, GP; Kushwaha, RP; Keshwar, S; Maharjan, RABSTRACT Background Unused, unwanted and expired medicines stored at home pose threats to both health systems and environments. Healthcare professionals (HCPs) should be aware of the proper disposal methods of such medicines. Objective To assess the knowledge, attitude and practice of disposal of unused, unwanted and expired medicines among healthcare professionals. Method A web-based cross-sectional descriptive study was conducted among faculties and junior residents at B.P. Koirala Institute of Health Sciences, Dharan, Nepal using a semi-structured proforma. The data were collected through Google Form. Descriptive statistics were calculated. Chi-square test and Student’s t test were used for analysis using statistical package for the social sciences at p value of 0.05. Result A total of 294 healthcare professionals with mean age 35.37± 6.630 years were participated out of which 231 (78.6%) were male and 151 (51.4%) were faculties. Mean knowledge score was higher in faculties (2.37±1.111) than the Junior residents (2.33±1.155) [F(1,293)=0.102, p=0.750]. Junior residents (140 out of 143, 97.9%) had a better attitude than faculties (141 out of 151, 93.3%) regarding the disposal of medicines [χ2 (1)=3.558, p=0.059]. Junior residents (36 out of 143, 25.1%) also had a better practice than faculties (24 out of 151, 15.8%) regarding the disposal of medicines [χ2 (1)=3.895, p=0.048]. Conclusion Majority of the Healthcare professionals had positive attitude but poor knowledge and practice regarding disposal of expired and unused medicines. There was a high practice of keeping medicines at home by healthcare professionals. The findings would be useful for planning strategies to minimize unused medicines and foster the appropriate disposal practice. KEY WORDS Attitude, Faculties, Knowledge, Medical waste disposal, Practice