Journal Issue: Volume: 13, No 1, Issue 49 (JAN-MAR) 2015
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Volume
Number
Issue Date
2015
Journal Title
Journal ISSN
1812-2027
Journal Volume
Articles
The World is Changing and Along with it the World of Dermatology
(Kathmandu University, 2015) Pai, G S
NA
Academic Staff Perspectives Towards Adoption of E-learning at Melaka Manipal Medical College: Has E-learning Redefined our Teaching Model?
(Kathmandu University, 2015) Bhardwaj, A; Nagandla, K; Swe, KMM; Abas, ABL
ABSTRACT
Background
E-learning is the use of Information and Communication Technology (ICT) to
provide online education and learning. E- Learning has now been integrated into
the traditional teaching as the concept of ‘blended learning’ that combines digital
learning with the existing traditional teaching methods to address the various
challenges in the field of medical education. Structured e-learning activities
were started in Melaka Manipal Medical College in 2009 via e-learning platform
(MOODLE-Modular Object-Oriented Dynamic Learning Environment).
Objectives
The objective of the present study is to investigate the faculty opinions toward the
existing e-learning activities, and to analyse the extent of adopting and integration
of e-learning into their traditional teaching methods.
Methods
A cross sectional study was conducted among faculties of Medicine and Dentistry
using pre-tested questionnaires. The data was analyzed by using the statistical
package for social science, SPSS, version 16.0.
Results
The result of our survey indicates that majority of our faculty (65.4%) held positive
opinion towards e-learning. Among the few, who demonstrated reservations, it is
attributed to their average level of skills and aptitude in the use of computers that
was statistically significant (p<0.05).
Conclusion
Our study brings to light the need for formal training as perquisite to support
e-learning that enables smooth transition of the faculty from their traditional
teaching methods into blended approach. Our results are anticipated to strengthen
the existing e-learning activities of our college and other universities and
convincingly adopt e-learning as a viable teaching and learning strategy.
KEY WORDS
Blended learning, e-learning, medical education, MOODLE
Early Outcome of Liver Resections in Octogenarians
(Kathmandu University, 2015) Bhandari, RS; Riddiough, G; Muralidharan, V; Christophi, C
ABSTRACT
Background
Reports on safety and feasibility of liver resection in patients 80 years and older are
very limited.
Objective
Here, we intend to analyze the perioperative outcomes of liver resections in
octogenarians performed at a single tertiary level teaching hospital over a ten years
period.
Method
Retrospective review of the medical records (between 2004 to 2014) of patients
of the defined age group was performed. Clinicopathological features, indications,
extent of resections, intraoperative parameters, postoperative complications and
final outcome were analyzed. Findings were compared with similar studies published
in literature.
Result
Total 19 (11 male, 8 female, maximum age 85 years) patients of the study group
underwent liver resection during the defined period. Commonest indication was
colorectal liver metastasis (9 patients). One patient had pancreaticodudenectomy
for periampullary malignancy four years prior to present with liver metastasis and
subsequently had liver resection for recurrence of disease. Except one, all had open
surgery. Types of resection ranged from sub segmental to major right (8 patients)
and left (1 patient) hepatectomy. Total 3 (27%) out of 11 patients on whom drain
was not placed required radiological drainage of abdominal collection. One patient
developed liver abscess postoperatively and was also successfully drained under
radiological guidance. Only 2 (10.5%) had prolonged Intensive Care Unit (ICU) stay
and remaining patients were discharged to ward after 24 hrs of observation in high
dependency/Intensive care unit. Median hospital stay was 11 days. Postoperative
complications were 3 of grade II, 4 of grade IIIa, 1 of IIIb and 2 of IVa. Total 9 patients
were discharged to rehabilitation centers and remaining 10 could be discharged
home. There was 0% mortality.
Conclusion
In appropriately selected cases, when performed in specialized tertiary centers
excellent perioperative outcomes of liver resections can be achieved even in patients
of 80 years of age and above.
KEY WORDS
Elderly, liver, morbidity, mortality, octogenarians, resection
Association of Ambient Air Quality with Male’s Pulmonary Function in Kolkata City, India
(Kathmandu University, 2015) Chatterjee, P; Das, P
ABSTRACT
Background
Kolkata is one of the polluted metropolitan cities in India where health effects of air
pollution are raising serious concern.
Objectives
Purpose of the present study was to analyze association between levels of air
pollutants and pulmonary function of adult males living in two different air
pollutant zones of Kolkata.
Methods
Air pollution data of two ambient air quality monitoring stations located at
Rabindrabharati and Victoria Memorial was collected from West Bengal Pollution
Control Board, Kolkata for the period from January to March 2012. Study was
conducted on 200 males (17-22 yrs), subdivided into two groups from living within
3 km radius of that two monitoring stations. They were investigated for their
spirometric lung functions following method and technique recommended by
American Thoracic Society. Results were expressed as mean ± SD and independent
samples T test was conducted to compare between groups.
Results
PM10, SO2 concentrations were significantly higher in Rabindrabharati zone,
whereas no significant differences were noted in NO2 and CO concentrations
though values were higher at Rabindrabharati than Victoria Memorial. FVC, FEV1,
FEF25-75%, MVV were significantly lower in males of Rabindrabharati zone.
Conclusion
Exposure to high air pollutant concentration might be associated with reduced
pulmonary function in adult males.
KEY WORDS
Air pollution, FVC, FEV1, FEF25-75%, MVV
Relation of Sociodemographics and Personal Hygiene on Different Childhood Dermatoses
(Kathmandu University, 2015) Gauchan, E; Kumar, A; BK, G; Thapa, P; Pun, J
ABSTRACT
Background
Skin diseases in children contribute to significant morbidity and psychological
distress. Infective dermatoses are one of the major dermatoses in children. Low
socioeconomic status, overcrowding and poor personal hygiene has been linked to
skin diseases.
Objective
To find out the prevalence of infectious skin disease in children, rate of transmissible
skin disease and association of sociodemographic factors and personal hygiene on
infective childhood dermatoses.
Method
This was a cross-sectional study conducted in the Pediatric and Dermatology
Department, Manipal Teaching Hospital, Pokhara, Nepal. A total of 226 patients were
examined over a period of one year. Relation of sociodemographics, crowding and
personal hygiene on skin disease were assessed.
Result
The most common category was Infections and Infestations (51.3%) followed by
Dermatitis (27.9%) . Transmissible skin disease was seen in 49.6%. Low socioeconomic
status and overcrowding were associated with increased risk for infective dermatoses.
Conclusion
Skin disease in children constitutes a public health problem. Improving the
socioeconomic status and personal hygiene can help to reduce the incidence of skin
disease in children.
KEY WORDS
Infections and infestations, personal hygiene, sociodemographics