Browsing by Author "S, Joshi"
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Publication Faculty opinion survey following attendance to teacher training workshops in Kathmandu Medical College(Kathmandu University, 2004) S, Joshi; A, Pradhan; H, DixitIntroduction: With the growing awareness of the importance of teaching and learning in Universities, the need to improve professional qualities in teachers has been identified. Aim and Objectives: This paper describes the outcome of the impact of teacher training workshops on faculty- teaching performance. Methodology: A total of 30 faculties who had undergone teacher training in the one-year period were included in the study. Survey questionnaire were distributed and all the forms were returned. Results: All (100%) respondents found the teacher training to be very useful/useful for improvement of teaching skills. A total of 76.66% said that the skills learnt in the workshop were very applicable, 80% perceived changes in students’ classroom behaviour and found their lecture to be more participatory and interactive. As for their own change in behaviour, 66.66% respondents experienced better interaction with the students in classroom. Discussion: The overall impression of the training was very positive. Future studies should include student feed back and classroom teaching observation for faculty teaching evaluation. We also need to utilise the feed back information obtained in this article, to further improve the strength of the future teacher training workshops. The future workshops should include sessions in problem-based learning and follow up refresher courses. Key Words: Teacher- training, Survey, KMCPublication Kala-azar (Visceral Leishmaniasis) from Khotang(Kathmandu University, 2006) S, Joshi; BL, Bajracharya; MR, BaralKala-azar is a chronic infection of reticuloendothelial system caused by flagellated protozoan, leishmania donovani injected into human host by the bite of the sand fly (phlebotomous) previously infected by biting and sucking the blood of a patient of leishmaniasis. It is characterized by irregular fever of long duration, large spleen and liver, anaemia, leucopenia and progressive emaciation. This article reports a case of a 10year old girl from Khotang, a nonendemic zone for Kala-azar, who presented with long history of abdominal distension for 11months, fever for 9months, cough for a week and weight loss. Clinical examination revealed pallor, enlarged liver and huge splenomegaly. Investigations confirmed the diagnosis of kala-azar by the presence of L.D bodies in bone marrow smear. The patient is being treated with i.v Amphotericin B in Infectious Disease Hospital, Teku. Key words: Abdominal distension, fever, pallor, splenomegaly, L.D bodies.Publication Publication Percutaneous dilational tracheostomy: An initial experience in community based teaching hospital(Kathmandu University, 2006) S, Joshi; B, Agrawal; GP, Deo; BK, Bhattarai; TR, Rahman; BK, BiswasPercutaneous dilational tracheostomy (PDT) is frequently performed in the intensive care unit to prevent the long term complications associated with prolonged endotracheal intubation. Objective: To report the analysis of our experience with percutaneous dilation tracheostomy. Study Design: A prospective documentation of 40 patients who received percutaneous dilational tracheostomy in a multidisciplinary intensive care unit during a 12-month period. Method: The patients demographic, indications of intubation and PDT, time required to perform the procedure, complications and the outcome of these patients in the intensive care unit were noted. Result: Among 425 patients, 40 underwent percutaneous dilational tracheostomy that included 22 females and 18 males with the median age of 35 years. Prolonged ventilatory support was the most common indication for tracheostomy. The average duration of intubation before PDT was 5 days. Median procedure time was 20 minutes. Complications included minor bleeding in two (5%), subcutaneous emphysema with pneumothorax in two patients (5%), tracheal stenosis in three (7.5%), tracheo-esophageal fistula and glottic granuloma in one patient each (2.5%). Among forty patients, 28 (70%) were discharged to the ward, 8 died in intensive care unit and 4 left hospital against medical advice. Conclusion: Percutaneous dilational tracheostomy is a safe, quick and effective way for long term airway management in critically ill patients.Publication Study of Antibody Recognition Pattern of HCV by Western Blot Method(Kathmandu University, 2003) S, JoshiHCV is a positive strand RNA virus, and is a member of the Family Flaviviridie. HCV show substantial nucleotide sequence variability distributed throughout the viral genome, particularly the HVR1 region that is suggested to be immunogenic in humans. HVR1 is the most heterogeneous region within the E2 genome and peptide corresponding to this region, can be detected by homologous sera. To study the serum reactivity to peptides obtained from HVR1 region of the E2 region of the HCV genome, western blot can be performed in place of Enzyme - Linked Immuno Sorbent Assay (ELISA), if the expressed recombinant protein is insoluble & cannot be extracted or purified from the host cell. Key words: - HCV, serum reactivity, western blot