ABSTRACT
Objectives: Web-based learning is becoming a newly accepted standard in education, more so with COVID-19 pandemic. To use technology to redesign learning experiences, a blend of synchronous and asynchronous approaches was used wherein the routine lectures through MS Teams (synchronous) were integrated with an online learning management system (LMS), 'Moodle' (modular object-oriented dynamic learning environment) based, four-quadrant approach (asynchronous). We aimed to determine the student's engagement, performance and perception of the new online LMS. Material(s) and Method(s): All 170 students of the 1st year MBBS of batch 2020 were enrolled in the course. A module was developed for teaching 'Physiology of Vision' with this blended approach. Along with routine online lectures through Microsoft Teams, supplementary materials in the form of multimedia presentations and additional links to useful websites were provided through online LMS. The online activity of students was recorded and assessments were done. A feedback form was filled out by students at the end of the course. Result(s): A significant positive correlation of examination scores with individual student's activity logs and significantly better scores in top Moodle users along with significantly higher marks in Moodle-based modules than in other modules confirmed the value of Moodle in improving student performance. Overall feedback from students was clearly in favour of implementing Moodle as a complementary tool to traditional teaching. Conclusion(s): Moodle improved the quality of learning. It developed interest and motivation among students and has a positive impact on academic outcomes.Copyright © 2023 Association of Physiologists and Pharmacologists of India. All rights reserved.
ABSTRACT
INTRODUCTION AND OBJECTIVE: SARS-CoV2 infection that results in coronavirus disease (COVID-19) manifests in multiple organ systems, including the respiratory, the heart and circulatory as well as the gastrointestinal systems. However, little is known about its impact on the genitourinary system. Preliminary reports indicate some patients may develop a so-called “post-acute COVID-19 Syndrome or Long COVID,” in which they experience persistent symptoms after recovering from their initial illness. The objective of the present investigation was to determine such impact on bladder function in patients who were treated for COVID-19 in the acute care hospital and then transferred to inpatient rehabilitation at the Rehabilitation Institute of Michigan for long-term care of deconditioning secondary to the viral illness. METHODS: We used AUA Urology Care Foundation Overactive Bladder (OAB) Assessment Tool to screen all recovering COVID- 19 patients at the Rehabilitation Institute of Michigan from 6/1/2020 to 12/31/2020. Primary outcomes include patient responses to 5 symptom and 4 quality-of-life questions (QOL). We reported median symptom scores, as well as quality-of-life scores, based on new or worsening urinary symptoms stratified by sex. RESULTS: We identified 25 patients with de novo and 20 patients with worsening OAB symptoms. In our cohort, 20 patients with pre-existing OAB experienced no change in their symptoms. In patients with new onset OAB symptoms, the median symptom score was 17. Patients with worsening OAB symptoms had a median pre-COVID-19 symptom score of 8 which was exacerbated post-COVID-19 as indicated by the median symptom score of 19. The median total QOL score for both men and women was 19. In patients with worsening OAB, median pre-COVID-19 QOL score was 9 compared to median post-COVID-19 QOL score of 19. Median age was 66 (range 41-82). CONCLUSIONS: In a population of deconditioned patient recovering from the COVID-19 infection at an inpatient rehabilitation facility we noted that OAB symptoms either occurred de novo or worsened, and QOL scores declined in the majority of patients (45 out of 65). Urological manifestation may be an important part of Post- Acute COVID-19 Syndrome that may impact quality of life and hinders full recovery from COVID-19. More research is needed to raise awareness of urologic impact of Long COVID and to further delineate the pathophysiological mechanisms of de novo or worsening urological symptoms in Post-Acute COVID-19 Syndrome.