ABSTRACT
Background: Nerve conduction study (NCS) is the most sensitive test to measure electrical activity in peripheral nerve. The conduction velocity of the nerve depends on physiological factors such as age, gender, temperature, and height. Aging is accompanied by reduction in nerve conduction velocity, rate decrease in muscle contractility, and alteration in muscle metabolism and neuromuscular junction. Aim and Objective: The main objective of the present study was to access the effect of aging on nerve conduction velocity. Materials and Methods: The study was carried out at the assure electrodiagnostic center, Ahmedabad, among healthy individuals of age group 21–80 years. The motor NCS was performed for median, peroneal, tibial, and ulnar nerves. Analyzation of the data of distal motor latency, motor nerve conduction velocity, and compound muscle action potentials from the distal stimulation was done for all subjects. Results: Males had significantly taller height (162.3 ± 3.6 cm) and more weight (69.2 ± 5.8 kg) than females (height: 154.5 ± 10.2 cm, P < 0.05; weight: 53.5 ± 5.8 kg, P < 0.05). Amplitude of lower limb nerves was also significantly decreased with increasing age (P < 0.05). With increasing in age, significant slowing of conduction velocity was observed in median and ulnar nerve, common peroneal and tibial nerve. Conclusions: Age can affect amplitude and conduction velocity of motor nerve. With increasing an age, there is declining trend of conduction velocity and amplitude of motor nerve. Further researches are needed to clarify the trend of latency with increasing age.
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Background: The COVID-19 pandemic situation has immensely affected teaching in all institutions, especially in medical colleges. To minimize the impact of lockdown, current technology enabled online learning (E-learning) to be the important method of teaching the student during the COVID-19 pandemic. Aim and Objectives: The main objective of the present study to analyze perception of online teaching approach of medical students after 1 month of online learning without faceto-face learning. Materials and Methods: A survey was conducted by distributing an online questionnaire to 710 medical students. This research study was conducted from May 15 to May 16, 2021. Data gathered from the survey were analyzed with Epi info 7.1.5.0 software. Results: A total of 452 (63.66%) were male and 258 (36.34%) were female. Learning on your own place (80.1%), ability to stay at home (72.1%), access to online materials (59.2%), and ability to record meeting (49.8%) were the most frequent advantages of e-learning selected by medical students. The majority of students chose lack of interaction with patients (66.8%), technical problems (53.9%), reduced interaction with faculty (50.3%), social isolation (44.9%) as the main disadvantages. E-learning was considered less effective than face-to-face learning in terms of increasing skills (M = 2.1, M = 4.6, respectively) (P < 0.001) and social competences (M = 2.8, M = 4.8, respectively) (P < 0.001). Conclusion: The online learning was found to be advantageous as it provided flexibility and convenience for the learners. All these factors should be considered while developing an online course to make it more effective and productive for the learner.
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Background:Labour progress in partograph plotting helps to early recognition and prevention of the complication of labour. This helpful in better maternal and perinatal outcome. Aim of the study is to evaluate the maternal and perinatal outcome in primigravida and multigravida by comparing their partograph in labour.Material And Methods:This prospective observational study was carried out in Smt. SCL General Hospital a teaching tertiary care hospital from May-2018 to November-2019. Total 250 cases out of which 125 cases of primigravida and 125 cases of multigravida admitted in labour room were randomly selected and monitored by using modified WHO partograph. All the cases reporting to labour room and fulfilled the inclusion criteria were included in thisstudy. Individual partograph was studied to know the various aspect of course of labour.Result:208 out of 250 cases were before alert line, 34 cases were between alert and action line and 8 cases were beyond action line. Rate of cervical dilatation in most primigravida was between 1.1-2cm/hour and in multigravida was >2.1cm/hour. In Zone A, in primigravida 90.7% had VD and 9.3% had LSCS whereas in multigravida 96.4% had VD and 3.6% had LSCS. In Zone B, in primigravida 47.8% had vaginal delivery and 52.2% had LSCS whereas in multigravida 54.4% had VD and 45.5% LSCS. In Zone C, in primigravida and multigravida there were no VD and 100% had LSCS. Protracted active phase (50%) was presents the most common abnormality of first stage of labour in both group inpresent study and in second stage, arrest of decent (82%) was more common. In both groups, NICU admission were more in Zone C (3.2%) as c ompared to Zone A (2%) and Zone B (1.6%).Conclusion:This study has shown that using the partograph can be highly effective in reducing complications from both mother and neonate. It is also helpful in monitoring of labour and early diagnosis of abnormal labour. It prevents maternal mortality and morbidity.
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Background:Unplanned pregnancy may be the reason of many neonatal and maternal adverse effects. The objective is to study various factors affecting IUCD (temporary contraceptive method) preference. Material And Methods:A record based study of data of 483 couples selecting IUCD, during the one year period was collected with permission from tertiary care hospital. Result:The most common group preferring IUCD was 21-30 years (mean age-females-26 years and males-30 years).Majority having 2 children opted for IUCD while only 1 couple opted for IUCD without any child. Out of the total, 42% opted PPIUCD, 42% interval IUCD and 16% PAIUCD. Among lower age and up to primary educated groups, majority opted for PPIUCD. Among higher age and educated groups, majority opted for interval IUCD. PAIUCD proportion was higher in less educated females. Majority ofMuslims preferred PPIUCD while Hindus, interval IUCD. The association of type of IUCD with age, number of children and religion was found significant while with education, it was in-significant. Conclusion:The use and type of IUCD preferred depends on various factors such as age of male and female, number of children and religion of couples.
ABSTRACT
Background:Unplanned pregnancy may be the reason of many neonatal and maternal adverse effects. The objective is to study various factors affecting IUCD (temporary contraceptive method) preference. Material And Methods:A record based study of data of 483 couples selecting IUCD, during the one year period was collected with permission from tertiary care hospital. Result:The most common group preferring IUCD was 21-30 years (mean age-females-26 years and males-30 years).Majority having 2 children opted for IUCD while only 1 couple opted for IUCD without any child. Out of the total, 42% opted PPIUCD, 42% interval IUCD and 16% PAIUCD. Among lower age and up to primary educated groups, majority opted for PPIUCD. Among higher age and educated groups, majority opted for interval IUCD. PAIUCD proportion was higher in less educated females. Majority ofMuslims preferred PPIUCD while Hindus, interval IUCD. The association of type of IUCD with age, number of children and religion was found significant while with education, it was in-significant. Conclusion:The use and type of IUCD preferred depends on various factors such as age of male and female, number of children and religion of couples