RESUMEN
Background: Patient surviving in the ICU may have to undergo physical and mental sufferings after the discharge from the ICU. Health Related Quality of Life (HRQoL) of such patients post discharge has been addressed mostly in developed countries, however in developing countries the data is insufficient. Thus, in this study we have aimed to assessed the HRQoL of such patients. Objectives: To evaluate the HRQoL of critically ill survivors in Central India Methodology: It was a prospective, observational study conducted on the 82 patients of an ICU of central India. APACHE II and SOFA score were calculated after the admission of the patient and a Short Form Health Survey (SF -36) was conducted at 1 st , 3 rd and 6 th month by telephonic interview after the discharge of the patient. Result: APACHEII and SOFA score was found significantly associated with the mortality outcome of the patient (p<0.0001). HRQOL improved in survivor patients progressively after hospital discharge and was maximum at 6 months (p<0.0001). Conclusion: The APACHE II score and SOFA score were able to predict the mortality of the patients, and the HRQOL was improved significantly over a period of 6 months post discharge.
RESUMEN
Medical colleges in India follow a curriculum with a large body of knowledge pertaining to basic sciences and clinical disciplines. Use of innovative techniques in teaching has certain advantages which include increasing teacher and learner enthusiasm and improving participation of the students. We combined the use of pre-/post-test in vertical integrated teaching to increase the effectiveness of the teaching process. An innovative vertical integrated teaching session was carried out for final MBBS students. A total of 35 students participated. A pre-test questionnaire was given to all the students to identify basic knowledge about the subject (HIV). Then the faculty conducted sessions on HIV, followed by a post-test questionnaire. This study revealed that students have improved their knowledge by the new teaching-learning method. The students were enthusiastic towards the new teaching-learning method. The faculty showed enthusiasm towards this new approach but were of the opinion that this method could be applicable only to selected topics. The teachers agreed that immediate feedback can be obtained from the students regarding acquisition of knowledge.