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1.
Artículo | IMSEAR | ID: sea-211704

RESUMEN

Background: Didactic mode of teaching retains a strong hold in the Indian medical education scenario. Is this because there is no alternative teaching method or is it the preferred choice of the learners? When outcomes of teaching are considered, better teaching tools are available. But when the question of choice of the learners is raised, there are no satisfactory answers. This study aims to expose medical students to different modalities of training and to obtain their verdict on what they consider is the best method of teaching to aid in their learning process.Methods: A cross sectional study was conducted on all I year medical students after obtaining institutional clearance. 33 students consented to participate in the study. They were divided into 3 groups and given instructions in cardiopulmonary resuscitation (CPR)- single rescuer method in the didactic, video format and manikin based. A pre-test was taken and a post-test too. A skills test was taken at the end of teaching. Finally, all the students were asked to give a feedback. The results tabulated and analyzed.Results: Students with simulation (manikin) based teaching had more confidence in performance of CPR, performed better in the skills test and post-test when compared to the other groups. Almost unanimously, the students preferred simulation based teaching over the other two tools that they were exposed to.Conclusion: A revolution in medical teaching in the Indian syllabus is the need of the hour. While newer tools are being implemented, the requirements and choices of the recipients of teaching should also be considered.

2.
Artículo | IMSEAR | ID: sea-194176

RESUMEN

Background: Adipose tissue mainly visceral fat is said to be harmful and acts as a harbinger of metabolic disorders. A changing trend is seen in the recent decades with decreasing incidence of metabolic disorders in men even though visceral fat is said to be higher in them. Sex hormones may influence the deposition pattern of adipose tissue. The aim of this study was to observe effects of age on visceral fat and to know if the difference in gender pattern of fat distribution is maintained throughout life or disappears after menopause.Methods: This cross-sectional observational study was conducted in Thrissur on 385 apparently healthy subjects using Omron body composition analyser. Data was analysed using SPSS 20.0 version. The tests employed were NOVA, independent samples t-test.Results: In each age group, men had significantly higher visceral fat than females. As age increased, visceral fat increased significantly in both genders. In each group, except for younger age groups, VF levels were equal in men and women.Conclusions: Visceral fat is higher in men and this difference is seen in all age groups. As age increases, visceral fat levels also increased in men and women. The distribution of visceral fat is such that a greater number of men have high to very high levels at a younger age group, a feature observed in women only in the peri and post-menopausal age. Adoption of an active lifestyle coupled with healthy diet should protect against onset of metabolic disorders.

3.
Artículo | IMSEAR | ID: sea-211090

RESUMEN

Background: Non Communicable Diseases (NCDs) are a mushrooming problem and accounts for majority of deaths. Paradoxically the population of Kerala is increasingly susceptible to NCDs despite having good access to health care. Doctors work in highly stressful conditions and often adopt sedentary lifestyles thereby forming a subset of the NCD prone population. The objective of this study was to assess the health status of the doctors which would provide an insight into their health and level of awareness regarding the role of lifestyle in prevention of NCDs.Methods: Sixty five doctors participated in this Cross-Sectional Observational study conducted at a CME in Kerala. After obtaining Institutional Ethical clearance, demographic profile was collected, and fat levels were estimated using body composition analyzer (OMRON-HBF375). The results were tabulated using Microsoft Office Excel, analyzed using SPSS version 20.Results: On classifying the study group based on BMI, only 34 were normal, 26 were Overweight, and 4 were Obese. Gender wise distribution of body fat revealed only 4 had normal body fat composition. The study also showed that as age advances the amount of total and visceral fat shows a significant upward trend in males.Conclusions: BMI alone cannot be used as a predictor of health status. Body Fat percentage analysis should be included in routine screening programs. Men have a tendency to develop visceral adiposity with age. Females depend more on fat as primary source and hence females will respond better to a properly programmed exercise regime and men to a well guided diet program with exercise.

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