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Shimla, India

Adiga U.,Assoc Profesor | Adiga S.,IGMC
International Journal of Pharma and Bio Sciences | Year: 2011

Background: Case based learning (CBL) is a popular method of teaching in medical schools. The primary aim of implementing CBL in to the curriculum of medical schools is to expose the students to the real world problems and to prepare them to analyze, interpret and solve them. The objective of our study is to find the effectiveness of CBL compared to routine didactic lectures and to know whether CBL can be adopted as a regular method of learning in biochemistry curriculum. Methodology: In addition to didactic lectures, CBL was used as learning method in few topics like heme metabolism in fourth and lipoprotein metabolism in third semester exclusively. The effectiveness was assessed by comparing the post CBL and post lecture scores. Students' perception was assessed by a questionnaire which is validated by peers. Results: Mean scores were 67.3±1.8% and 65.7±1.7%, post CBL and post lecture respectively for the fourth semester and 76.1±1.2% and 74.3±1.9% respectively for third semester.P<0.001 suggested that post CBL grades were extremely significantly higher in both the semesters. Majority of the students (54%) opined that the case was appropriate and useful. 41% students found this method of learning very difficult.

Fotedar V.,IGMC | Seam R.K.,IGMC | Gupta M.K.,IGMC | Gupta M.,IGMC | And 2 more authors.
Asian Pacific Journal of Cancer Prevention | Year: 2013

Background: Breast cancer is an increasing health problem in India. Screening for early detection should lead to a reduction in mortality from the disease. It is known that motivation by nurses influences uptake of screening methods by women. This study aimed to investigate knowledge of breast cancer risk factors & early detection methods and the practice of screening among nurses in Indira Gandhi Medical College, Shimla, Himachal Pradesh. Materials and Methods: A cross-sectional study was conducted using a self-administered questionnaire to assess the knowledge of breast cancer risk factors, early detection methods and practice of screening methods among 457 nurses working in a Indira Gandhi Medical College, Shimla-H.P. Chi square test, Data was analysed using SPSS version 16. Test of significance used was chi square test. Results: The response rate of the study was 94.9%. The average knowledge of risk factors about breast cancer of the entire population is 49%. 10.5% of nurses had poor knowledge, 25.2% of the nurses had good knowledge, 45% had very good knowledge and 16.3% of the nurses had excellent knowledge about risk factors of breast cancer and early detection methods. The knowledge level was significantly higher among BSC nurses than nurses with Diploma. 54% of participants in this study reportedly practice BSE at least once every year. Less than one-third reported that they had CBE within the past one year. 7% ever had mammogram before this study. Conclusions: Results from this study suggest the frequent continuing medical education programmes on breast cancer at institutional level is desirable.

Mahajan V.,IGMC | Gupta N.,IGMC | Gupta S.,John H Stoger Hospital of Cook County | Sharma R.,IGMC
Indian Journal of Pathology and Microbiology | Year: 2014

Hepatoid adenocarcinoma of the stomach is a rare form of gastric carcinoma with specific clinicopathological features and extremely poor prognosis. Here, we report a case of a 60-year-old male patient who presented in the outpatient department with pain abdomen and constitutional symptoms. Radiological examination revealed a growth involving the antrum of the stomach while the liver and spleen were normal. The serum alpha fetoproteins were 6590 ng/ml. The patient underwent a partial gastrectomy and microscopic examination of the growth showed two types of histological patterns. Majority of the tumor displayed hepatoid differentiation with adenocarcinomatous foci. Periodic acid Schiff positive intracytoplasmic hyaline globules were seen. The tumor was immunohistochemically positive for alpha fetoprotein. The patient underwent radical gastrectomy, received chemotherapy and has been on follow-up for the past 12 months. Though known to be an aggressive neoplasm early diagnosis of hepatoid adenocarcinoma can help improve the prognosis of the disease.

Mahajan A.,IGMC | Kaushal K.,IGMC
Indian Journal of Community Health | Year: 2015

Introduction: Malnutrition permeates all aspects of health, growth, cognition, motor and social development of young children. Anganwari Worker (AWW) is a community based frontline honorary worker of the ICDS Programme. She is an agent of social change and capable of mobilizing community support for promotion of Infant and Young Child Feeding (IYCF) practices, thereby helping to curb child malnutrition to a large extent. Rationale: The AWW is the key functionary who can appropriately guide the mothers regarding appropriate IYCF practices in the best possible way, provided she herself is well equipped with adequate knowledge. OBJECTIVE: To assess the knowledge, attitude and beliefs of Anganwari workers regarding IYCF practices. Material & Methods: 100 AWWs were assessed for their knowledge, attitude and beliefs regarding IYCF practices. Both pre-test and post-test evaluations were done. Results: About 19% of the AWWs did not know the age up to which the child should be exclusively breastfed and 13% did not know about the age of introduction of complementary feeding. Only 47% of the AWWs knew about the “feeding on demand” concept. More than 90% of AWWs believed that colostrum should be given to the baby. None of the AWWs knew about the quantitative additional calorie, protein and calcium requirements in lactating mothers. There was significant difference (P<0.001) between mean pre test scores (19.48±1.98) and mean post-test knowledge scores (22.21±0.93) of Anganwari workers. Conclusion: Repetitive practical orientation programmes would help in increasing the knowledge of AWWs and improving their skills for implementation of correct IYCF norms. Efficient, coordinated and well-targeted approaches can bring about positive changes in child under nutrition. © 2015, Indian Association of Preventive and Social Medicine. All rights reserved.

Mokta K.K.,IGMC | Kanga A.K.,IGMC | Kaushal R.K.,IGMC
Indian Journal of Medical Microbiology | Year: 2010

Perinatal listerial infection is the most common clinical syndrome caused by Listeria monocytogenes and includes abortion, still birth, neonatal sepsis, and meningitis. Reports of listeriosis from India are limited. Sub Himalayan. We report a case of neonatal listeriosis from Himachal Pradesh. A two-day-old full term male baby was referred from a peripheral hospital with fever listlessness, skin rash and non-acceptance of feed. Ceftriaxone was already started as an empirical therapy. Listeria monocytogenes was isolated from cerebrospinal fluid (CSF) and blood of the baby, and also from the genital tract of the mother. Unfortunately, the baby died before the preliminary report could be communicated.

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