Knowledge attitude and practices on prevention of anaemia among antenatal women

Background: Iron Deficiency Anaemia in pregnancy is associated with intra uterine growth retardation, pre term labour, low birth weight baby and it also increases maternal and perinatal mortality.Methods: This KAP study was conducted for six months. All the pregnant women attending the outpatient department of Sri Manakula Vinayagar medical college and hospital, were provided with a predesigned questionnaire by the principal investigator. Data was collected after obtaining consent from 167 patients regarding their knowledge, attitude and practices towards anaemia.Results: In our study we found that women with age more than 25 years, advanced gestational age, educated participants and women belonging to higher socio-economic status showed adequate knowledge about anemia and its complications.Conclusions: Health Education plays an important role, in creating awareness among antenatal women and by implementing this into practice will help in prevention of anaemia.

E-learning as a tool to impart knowledge of surgical procedures in the undergraduate medical teaching

Background: E-learning is in a budding stage in developing countries. As present-day students are gadget-friendly, introducing a surgical e-learning module may create interest and help in understanding the surgeries easily. This study aimed to determine the effectiveness of E-learning in improving the knowledge component of surgical procedures for undergraduate students and to analyze students’ feedback regarding its usefulness.Methods: This quasi-experimental study was conducted among 67 final-year MBBS students, who had completed 1 week of operation theatre (OT) posting in obstetrics and gynecology. Recording of videos for must-know surgeries in gynecology was done. Video editing and audio description of surgical steps were done. A YouTube channel was created and surgical videos were uploaded. Links to 2 surgical videos and additional teaching materials were uploaded to the college learning management system daily for 2 consecutive weeks. A telegram group was formed for posting questions daily. Pre-test and post-test were conducted and the results were analyzed.Results: The mean marks obtained in the pre-test were 6.567±1.9 and the post-test was 15.22±2.5 (Paired t test p=0.0001). Students mentioned that combining OT posting with an e-learning module helped them to build their knowledge of surgical procedures. Telegram quizzes helped them to increase their understanding of surgeries. 34 students wanted e-learning module to be conducted on other topics also.Conclusions: E-learning is highly effective in improving knowledge component of surgical procedures for undergraduate students. E-learning can be made more effective by adding formative assessment. Combining surgical e-learning module with operation theatre posting can enhance knowledge and understanding.

A rare case of immune-related pseudotumor of ovary mimicking ovarian malignancy

IgG4-related disease (IgG4-RD) is a chronic inflammatory condition affecting various body organs. However, genital tract involvement is rarely reported. A 40 years old reproductive-age woman presented with a solid abdominopelvic mass of 20 weeks size. CECT revealed a large multiloculated solid cystic lesion arising from right adnexa with multiple enlarged lymph nodes and omental thickening with gross right-sided hydroureteronephrosis suggestive of ovarian malignancy stage III. Surprisingly, tumor markers were normal. Intraoperatively, we noticed a 15×15 cm right ovarian mass encasing the right ureter all around and constricting it. The mass was densely adherent to recto-sigmoid and right pelvic wall, which mandated extensive surgery. Histopathological examination with immuno-histo-chemistry (IHC) suggested the diagnosis of IgG4-RD of ovary. Awareness about its occurrence in ovary will help in arriving at the diagnosis which may influence the extent of surgery. Lymphoplasmacytic infiltration with fibrosis in histopathological examination warrants IHC analysis for achieving a diagnosis.

E-learning as a tool to impart knowledge of surgical procedures in the undergraduate medical teaching

Background: E-learning is in a budding stage in developing countries. As present-day students are gadget-friendly, introducing a surgical e-learning module may create interest and help in understanding the surgeries easily. This study aimed to determine the effectiveness of E-learning in improving the knowledge component of surgical procedures for undergraduate students and to analyze students’ feedback regarding its usefulness.Methods: This quasi-experimental study was conducted among 67 final-year MBBS students, who had completed 1 week of operation theatre (OT) posting in obstetrics and gynecology. Recording of videos for must-know surgeries in gynecology was done. Video editing and audio description of surgical steps were done. A YouTube channel was created and surgical videos were uploaded. Links to 2 surgical videos and additional teaching materials were uploaded to the college learning management system daily for 2 consecutive weeks. A telegram group was formed for posting questions daily. Pre-test and post-test were conducted and the results were analyzed.Results: The mean marks obtained in the pre-test were 6.567±1.9 and the post-test was 15.22±2.5 (Paired t test p=0.0001). Students mentioned that combining OT posting with an e-learning module helped them to build their knowledge of surgical procedures. Telegram quizzes helped them to increase their understanding of surgeries. 34 students wanted e-learning module to be conducted on other topics also.Conclusions: E-learning is highly effective in improving knowledge component of surgical procedures for undergraduate students. E-learning can be made more effective by adding formative assessment. Combining surgical e-learning module with operation theatre posting can enhance knowledge and understanding.

A rare case of immune-related pseudotumor of ovary mimicking ovarian malignancy

IgG4-related disease (IgG4-RD) is a chronic inflammatory condition affecting various body organs. However, genital tract involvement is rarely reported. A 40 years old reproductive-age woman presented with a solid abdominopelvic mass of 20 weeks size. CECT revealed a large multiloculated solid cystic lesion arising from right adnexa with multiple enlarged lymph nodes and omental thickening with gross right-sided hydroureteronephrosis suggestive of ovarian malignancy stage III. Surprisingly, tumor markers were normal. Intraoperatively, we noticed a 15×15 cm right ovarian mass encasing the right ureter all around and constricting it. The mass was densely adherent to recto-sigmoid and right pelvic wall, which mandated extensive surgery. Histopathological examination with immuno-histo-chemistry (IHC) suggested the diagnosis of IgG4-RD of ovary. Awareness about its occurrence in ovary will help in arriving at the diagnosis which may influence the extent of surgery. Lymphoplasmacytic infiltration with fibrosis in histopathological examination warrants IHC analysis for achieving a diagnosis.