RESUMO
A published pilot study showed the feasibility of integrating ethics into physiology in a single medical college. However, questions were raised about feasibility of scale-up and acceptance across different colleges. To assess feasibility of integrating ethics into Physiology, first year MBBS students of three medical colleges (n=449, College A=149; 59M, 90F; College B=150; 78M, 72F; College C=150; 48M, 102F) were exposed to the integrated ethics programme. Triggers related to theory or practicals were included. Faculty volunteers conducted the sessions with feedback from observers and students. Students across three colleges felt that the programme was relevant (92%–98%), effectively integrated (86%–98%) [significantly greater number of College A students: (p=0.003)], seldom interfered with physiology teaching (59%–66%). Greater number of students from College C followed by College B and A opined to continue the integrated programme for future years (p=0.004). A scale-up study of integration of ethics programme across different colleges was perceived to be feasible by students and observers.
RESUMO
Low cardio-respiratory fitness is prevalent in type 2 diabetics. The objectives of the present study was to assess the effect of an exercise on VO2max and HbA1c in type 2 diabetic patient. The baseline VO2max and HbA1c of 30 diabetics were estimated. VO2max was estimated using the Bruce protocol. HbA1c was measured by ion-exchange chromatography with Bio-Rad D10. After an exercise regimen for a period of 6 months, they returned to check their VO2max and HbA1c. The baseline VO2max was 32.67±11.99 ml/kg/min (low for given age) and HbA1C% values were high (7.58±1.66). After walking it was found that VO2max increased and HbA1c decreased significantly. Exercise improves cardiorespiratory fitness and lower HbA1c. So, a suitable exercise should be incorporated along with diet and drug prescription.