Study Of Level Of Awareness And Knowledge About The Organ Donation In Undergraduate Medical Students.

Abstracts: Background: Advances in the field of donation and transplantation parallel level of development in health sciences of the country in question. The most important factor on this subject is insufficient number of donated organs and tissues to meet the requirements for those on the waiting list for transplantation. Healthcare professionals are thought to be more knowledgeable, and sensitive about organ, and tissue transplantation. Purpose of our study is to determine the level of awareness and knowledge about organ donation in Medical students. Methodology: We determined the level of awareness and knowledge about organ donation of 1st year undergraduate medical students. Study has been carried out at physiology department GMERS Medical College, Gandhinagar. They were be given self made questionnaire which contains very basic questions about organ donation awareness and were given sufficient time of 3 days to fill it up. The data obtained was analysed by Epi info software. Results: From the survey it is found that there is very less awareness and knowledge about organ donation in 1st year undergraduate medical students who will be main source for spreading knowledge about organ donation and convincing as well as performing the organ donation. Conclusion: A well organized and systemic approach and execution of planning is necessary to improve the number of organ donors by improving the knowledge and system in doctors. A positive and aesthetic approach is necessary with Provision of small amounts of ‘up-to-date’ information in a simple language than using medical language with a careful selection of words.

Study of Heart Rate Variability in Hypertensive Subjects.

Introduction: Hypertension represents a multifactorial disease of blood pressure (BP) regulation with persistently elevated systolic and/or diastolic BP over 140/90mmHg. 90% cases of hypertension have to be assigned as essential hypertension. Research has proven that patients with essential hypertension, especially at an early stage without any medication, display autonomic disturbance in the form of increase in sympathetic and a reduction in parasympathetic activity of the ANS. The heart rate variability analysis is a powerful tool in assessment of the cardiac autonomic nerve function. It is non-invasive, an accurate, reliable, reproducible, yet simple to measure and to process and It is indicative of neuro-cardiac fitness and overall health. Objective – The aim of the present study was to (1) measure Heart rate variability (HRV) in Essential Hypertension (2) effect of different drugs on Heart rate variability in hypertension among hypertensive subjects. Materials and Methods: This study was conducted On 100 Hypertension subjects & 100 Normal subjects after obtaining informed written consent by use of Heart rate variability Analysis System Variowin-HR Medical System. Results: The mean values of Very low frequency (VLF), Low frequency (LF), High frequency (HF), Normalized High Frequency (HF (nu) & all time domain parameters were found to be reduced significantly in hypertensive subjects as compared to control subjects. The mean values of LF (nu), LF / HF ratio were significantly high in hypertensive subjects as compared to control subjects. Conclusion: observations in our study demonstrate that hypertensive subjects had markedly reduced heart rate variability (HRV) in comparison with normal subjects which indicate cardiac autonomic disturbances in hypertension subjects in causation of essential hypertension.

Body mass index in children with cerebral palsy.

Background: Review of literature suggest conflicting presence of undernourishment as well as over weightness in children with cerebral palsy. The purpose of present study is to analyse body mass index of children with different clinical types of cerebral palsy with respect to their gross motor functions using GMFCS. Methods: prospective cross sectional observational study was conducted on 50 children with CP (1- 18 yr old) at pediatric rehab centre. BMI (Kg/m2) was calculated. Abilities & limitations in gross motor functions were analyzed using GMFCS -E & R. Result: mean BMI of ambulatory & non ambulatory group were 13.82 kg/m2& 13.14 kg/m2 respectively. There was no significant difference in terms of BMI between both group with p value 0.187 & level of significance 5%. Pearson correlation test was applied between BMI and GMFCS Level and negative correlation was found with r = - 0.174. out of 50 patients 58% were having underweight. Amongst all underweight patients 34.48% were having Spastic quadriplegic CP. Conclusion: Underweight is prevalent in children with spastic quadriplegic CP. Therapeutic measures should be taken to prevent malnourishment.

A study of feeding problems in children with cerebral palsy.

Introduction: In children born before term development or in the presence of neurological compromise, problems are present with feeding & growth which can be related to an inadequate food intake, resulting from self-feeding impairment &oromotor dysfunction. Early intervention to correct the oromotor dysfunction is central to the management of children with neurological dysfunction. The purpose of present study is to find out the magnitude and extent of feeding dysfunction in patients of CP. Study design: prospective survey study Methods: 33 children with confirmed diagnosis of CP ( 7 – 96 month) were assessed for oromotor functions & interview of parent was taken for detailed feeding history and feeding habits. Feeding skill assessment was based on Gisel and Patrick’s feeding behavior skill score. Score of 4 or less was regarded as normal, score of 5-8 was defined as marginal problem & score of 9 or more was regarded as inadequate feeding skills. Results & conclusion: Descriptive analysis of collected data was done which shows that feeding dysfunction is prevalent in CP children. Maximum inadequate feeding skills present in spastic quadri CP (75.0%) & with GMFCS V. Problems found were sucking and swallowing problems, inability to self feed (48.5%), prolong feeding time (mean feeding time was 22.42 minutes, SD = 13.44 confidence interval (95%), improper feeding positions, coughing and chocking during feeding (6.1%), vomiting (3.0%), recurrent chest infections, oral motor dysfunction, drooling, cry / strong extensor thrust during feeding.

Learning habits evaluation of first m.b.b.s students of bhavnagar medical college.

Background: The learning habit of a learner is the way he handles new information and experiences, and determines its outcomes. Various types of learning habits are adopted by students, including visual (V; learning from graphs, charts, and flow diagrams), auditory (A; learning from speech), read-write(R; learning from reading and writing), and kinesthetic (K; learning from touch, hearing, smell, taste, and sight).Understanding their preferred learning habits as visual, auditory, read-write or kinesthetic learners will help to improve the teaching methods adopted. Facilitators and supporters themselves may need guidance and training in how to identify feedback and adapt learning to individual's habits. Objective: To assess different learning habits of medical students and hence provide student oriented education, producing efficient doctors. Materials and Methods: This study was performed at Department of physiology in Govt. Medical College, Bhavnagar in March 2011.Eighty four (84) medical students of first MBBS were participated in the study. By using the English version of the visual, auditory, reading or writing, kinesthetic (VARK) questionnaire, we measured the difference in learning habits of First year medical students. Results: In Unimodal learning habit highest preference was given to auditory mode (48.57%), then to Kinesthetic (28.57%) & then to read (14.29%) & visual (8.57%). Among Multimodal learning habit students (n=44), 64.29% students preferred bimodal, 2.38% students preferred trimodal and 33.33% students preferred quadrimodal learning habit. Conclusion: Knowing that students have different preferred learning modes, will help medical instructors in our faculty develop appropriate learning approaches and explore opportunities so that they will be able to make the educational experience more productive. The results will help faculty to develop appropriate learning approaches and explore opportunities, so that they will able to make the educational experience more productive.

Depression and quality of life in mothers of children with cerebral palsy.

Introduction: Children with cerebral palsy suffer from several problems like impaired gross motor development, balance, locomotion, sensory integration dysfunction. So family especially the mothers undertake a lot of stresses & social and emotional difficulties. Aims And Objective: To evaluate depression and quality of life in mothers of children with cerebral palsy. Material And Methods: 30 mothers of children with CP coming to pediatric physiotherapy OPD of V.S. hospital assessed with BDI-II measuring severity of depression and SF-36 measuring Quality of life. Data was analyzed by calculating mean and standard deviation. Results: 70% of mothers of children with CP suffering from mild to moderate level of depression and have affected QOL. Conclusion: our study has showed prevalent depression and affected QOL in mothers of children with CP.