July 2018 Ijabms
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INDIAN JOURNAL OF APPLIED BASIC MEDICAL SCIENCES INDIAN JOURNAL OF APPLIED BASIC MEDICAL SCIENCES [PREVIOUSLY PUBLISHED AS ACADEMY JOURNAL OF APPLIED-BASIC MEDICAL SCIENCES] PUBLISHED BY National society for integration of applied basic medical sciences Financially supported by FORUM [Reg. No GUJ/17809/Ahmadabad and F/17323/Ahmadabad] PUBLISHED SINCE 1999 ;PUBLISHED AS PRINT PDF, Online CORRESPONDENCE ADDRESS: POST BOX NO. 12028 PALDI POST OFFICE, AHMEDABAD - 380 007. GUJARAT INDIA. email: [email protected], [email protected], [email protected] Websites: www.themedicalacademy.in, www.nsiabms7.wordpress.com VOL -21 A [31] July- 2018 p ISSN: 0975-8917 , e ISSN: 2249 –7935, NLM ID: 101538966, LCCN: 2010243656 ________________________________________________________________ EDITORIAL BOARD ADVISORY Dr. Sadhana Joshi Dr. Dipti M Shah Dr. Pankaj R patel Chair person & Dean, AMCMET M C Dean.NHL M C Abad Editor in chief Ahmedabad Ahmedabad NSIABMS. indexed with Dr. N. D. Soni Rajasthan University www.indexcopernicus.com of Health Sciences www.nlm.nih.gov.nlm.catalog Dr. Pushpa Bomb Rajasthan University http://www.ebsco.com/ of Health Sciences www.JCCC@jgateICMR Dr. Pushkar A. Bhatt Saurashtra University http://imsear.hellis.org Dr. D Robinson WHOwww.niscair.res.in Delhi University www.indianjournals.com www.ebookbrowse.com Dr. S D Kaundinya MUHS Mahashtra www.knowledgetreeonline.com www.scribd.com Dr. Swapnali Kadam Maharashtra www.ulrichsweb.com Of Health sciences www.themedicalacademy.in Dr. Rajeev Sharma www.icmje.org baba farid health science university www.ourglocal.org PANJAB state Dr. Rajni Soni Devi Ahilya University Madhya Pradesh IJABMS JULY 2018 EDITORIAL OFFICE MEMBERS Dr Harsha Makwana Dr Rajula Tyagi Dr Hina Chhanwal Dr Janardan Bhatt Dr Shaista Saiyad: Founder members Dr Jyotinben Deokule Dr. R. N. Rao Dr A K Pathak Dr. M. S. Mansuri Dr Jagdeep Kaur Dani Dr Geetha Nair Late Dr R D BHATT late DR H JANA It is a FORUM publication INDEX 1 EDITORIALS AETCOM A NEW HORIZON Dr Shaista Saiyad ORIGINAL RESEARCH ARTICLES 2 PERCEPTION OF MEDICAL TEACHERS ABOUT INTEGRATED TEACHING IN MEDICAL CURRICULUM Shilpa K.Kolhe, Swapnali S. kadam, Jyoti p. Narkhede, Vrushali Kulkarni 3 A STUDY TO ASSESS RELATION BETWEEN INTRA-OCULAR PRESSURE AND MYOPIA IN DIFFERENT AGE GROUPS Nayan Mali, Neeta Mehta,Chirag Banker 4 INTRAVENOUS LIGNOCAINE AND INTRAVENOUS LIGNOCAINE PLUS NITROGLYCERINE LINGUAL SPRAY IN ATTENUATION OF HEMODYNAMIC RESPONSES TO TRACHEAL INTUBATION IN CONTROL .. Kumari Indira,Bugaliya Pradeep Kumar, Bhagwani Dharmesh Kumar, Bedi Vikram, SinghalYogendra,GargAnkush Kumar IJABMS JULY 2018 5 A STUDY ON RELATION OF SUBCLINICAL HYPOTHYROIDISM DURING PREGNANCY WITH ITS OUTCOMES IN GUJARAT. Dr. Bharat Patel , Dr. Mukesh Dinkar, Dr. SangeetaJain 6 A STUDY OF PORTSMOUTH-POSSUM SCORING IN PREDICTING MORTALITY AND MORBIDITY IN PATIENTS UNDERGOING MAJOR ABDOMINAL SURGERY Dr. Yogesh N Modiya , Dr. Dip H Joshi …. 7 STUDY OF DYSLIPIDEMIA AND ABNORMAL LIPID PROFILE IN DIABETES MELLITUS PATIENTS AND ITS ASSOCIATION WITH INCREASED MORBIDITY. Dr Ajay Rathod, DrTejas Shah 8 A COMPARATIVE STUDY ON OUTCOME OF MIDLINE LAPAROTOMY WOUND CLOSURE Dr. Pratik H.Vyas, Dr Jaykumar B.Pandya, Dr Shruja D.Narola, 9 EPIDEMIOLOGY AND PATTERNS OF ISOLATED LIMB INJURIES AT A TERTIARY CARE HOSPITAL IN AHMEDABAD Shah VP, Patel Nisarg, Makwana HD, Patel PR 10 COMPARATIVE EVALUATION OF EFFICACY OF EMLA CREAM AND A PLACEBO (MOISTURIZING CREAM) IN PRODUCING DERMAL ANALGESIA FOR VENOUS CANNULATION. DR. NIPA DESAI , DR. GAURI M PANJABI ,DR. PARTH PANDYA 11 COMPARISON OF ASLEEP AWAKE ASLEEP (AAA) TECHNIQUE/ MONITORED ANAESTHESIA CARE (MAC) TECHNIQUE FOR AWAKE CRANIOTOMY DR TAPAN PARIKH,DR.MANISHA S.KAPDI 12 LIPOSUCTION VS SURGICAL EXCISION OF GYNECOMASTIA Dr Ravi satasia, Dr Sanket katara IJABMS JULY 2018 13 A COMPARATIVE STUDY OF EFFICACY AND SAFETY OF ULTRASOUNDGUIDED DOUBLE TAP BLOCK DR.Devanshi Shah, DR.Manisha Kapdi 14 Non operative vs operative management of blunt hepatic injury A Retrospective Study Dr Shaishav V Patel Dr Kalpit Suthar Dr sandeepkumar singh 15 STUDY OF EFFECT OF CAFFEINE PRESENT IN COFFEE ON VISUAL AND AUDITORY REACTION TIMES ON FIRST YEAR MEDICAL STUDENTS Chandan K.dey ,Rameshwar G. daokar 16 EFFECT OF TOTAL DOSE PARENTERAL IRON ON CARDIOVSCULAR FUNCTION IN IRON DEFICIENCY ANEMIA Dr Paltial N Palat, Dr Shachish P Doctor, Dr Hemang N. Suthar 17 A BEGINNER SURGEON’S EXPERIENCE OF MINIMAL ACCESS SURGERY AT TERTIARY CARE HOSPITAL DR AAKASH G RATHOD , DR YOGESH N MODIYA 18 A STUDY ON EFFECTIVENESS OF SINGLE DOSE ANTIBIOTIC THERAPY IN LAPAROSCOPIC CHOLECYSTECTOMY TO PREVENT SURGICAL SITE INFECTIONS Dr. Brijesh D Parekh, Dr. Yogesh N Modiya 19 AMBLYOPIA AND QUALITY OF LIFE Aloe Gupta, Dr. Nitin V. Trivedi 20 Epidural Bupivacaine 0.5% and Ropivacaine 0.75% in Lower Limb Orthopedic Procedures ,a comparative study Dr. Mona panchal , Dr. Upasna Bhatia, Dr. Nirja Parmar 21 VISUAL OUTCOME IN METHANOL POISONING A STUDY OF AN OUTBREAK IN AHMEDABAD IN JULY 2009 , IJABMS JULY 2018 DR SHACHI PATEL, DR REEMA RAVAL 22 PREVALENCE OF VITAMIN D DEFICIENCY IN FEMALES OF HIGHER SOCIOECONOMIC CLASS OF AHMEDABAD, GUJARAT, INDIA Jayesh Vaza, Piyush Damor,Samip Sheth 23 A STUDY OF ECHOCARDIOGRAPHIC DETECTION OF CARDIAC ABNORMALITIES IN PATIENTS OF CHRONIC KIDNEY DISEASE& PROGRESSION TO HF. Dr Pratik Modi, Dr Ajay Rathod 24 A STUDY OF COMPARISON BETWEEN SILK LIGATION AND BIPOLAR CAUTERY IN TONSILLECTOMY DR NEHAL R. PATEL, DR. ALPESH V PATEL, 25 EPIDEMIOLOGY OF TIBIA FRACTURES A 6 MONTH STUDY IN A MAJOR ORTHOPEDIC HOSPITAL Dr Vatsal Khetan1, Dr Harsha Makwana2,Dr Naitik Panchal3, Dr Dhaval Modi4, 26 COMPARATIVE STUDY OF EFFECT OF MEDITATION ON RESTING CARDIOVASCULAR PARAMETERS IN HEALTHY MEDITATORS AND NON- MEDITATORS. Shaista Saiyad, Janardan Bhatt 27 PHYSIOLOGICAL ASSESSMENT OF COMMON CAROTID ARTERY END DIASTOLIC VELOCITY, A HEMODYNAMIC PARAMETER, WITH FUTURE RISK FOR THE DEVELOPMENT OF CEREBROVASCULAR STROKE MANISHA B MAKWANA, ANAND MISTRI VILAS J. PATEL 28 CLINICO-HISTOPATHOLOGICAL STUDY OF LEPROSY PATIENTS A TERTIARY CARE HOSPITAL BASED STUDY DR MOXDA S PATEL, DR NIDHI D PATEL, DR PAYAL N PADALIYA, DR. JAYASHREE M SHAH 29 Reviewer guidelines 30 11th ACADEMIC MEET 2018 IJABMS JULY 2018 1 EDITORIALS AETCOM: A NEW HORIZON DR Shaista Saiyad MD * *Assistant Professor, Department of Physiology, Smt. NHL Municipal Medical College, Ahmedabad. Corresponding address: Dr. Shaista Saiyad, Department of Physiology, Smt. NHL Municipal Medical College, Ahmedabad. AETCOM: Attitude, ethics and communication… These are pillars of successful doctors. By successful doctors, we mean, doctors having all attributes of Indian Medical Graduate. The overall goal of undergraduate medical education programme as described in the revised Regulations on Graduate Medical Education - 2012 (GMR 2012)1 is to create an “Indian Medical Graduate”(IMG) possessing requisite knowledge, skills, attitudes, values and responsiveness, so that he or she may function appropriately and effectively as a physician of first contact of the community while being globally relevant. Accordingly, IMG should be able to function in the following ROLES appropriately and effectively: * Clinician: who understands and provides preventive, promotive, curative, palliative and holistic care with compassion. * Leader and member of the health care team and system with capabilities to collect analyze, synthesize and communicate health data appropriately. * Communicator with patients, families, colleagues and community. * Lifelong learner committed to continuous improvement of skills and knowledge. * Professional: who is committed to excellence, is ethical, responsive and accountable to patients, community and profession. Currently, our IMG’s function effectively as predominantly clinicians. For a competent IMG, they should possess all 5 roles in equal proportion ie. All IMG’s should be effective clinicians, leaders, communicators, life long learners and professionals. Most of the IMG’s are at present competent in cognitive (knowledge) domain and to some extent in psychomotor (skills) domain. However, they lack affective (attitudinal and communication domain). As a result of this, a lot of mistrust has developed between doctors and patients jeopardizing doctor- patient relationship. This has resulted in lot of litigations against doctors. Most vital areas of patient management such as empathy, professionalism, and ethics are lacking in fresh undergraduates 2,3. There could be many reasons for lack of attitudinal domain among IMG’s, most prominent among them is, this domain is sort of ‘hidden curriculum’. Students are supposed to learn this vital domain by themselves as there is no formal training on this aspect. Hence, students try to ‘catch’ it via role models or by trial and error. Since ethics, communication, professionalism, humanities etc is not in formal curriculum, it is not assessed or taught. We know that assessment drives learning… since there is no assessment, the students do not formally learn it. Also, our traditional curriculum is segmented with water tight disciplines. All these limitations of traditional curriculum has resulted in IMG’s who are not competent. Miller’s pyramid of clinical competence has 4 levels: knows, knows how, shows how and does. For a competent IMG, we need our students to go to higher levels of Miller’s pyramid as they progress in their undergraduate medical studies. At present, since most of traditional curriculum is cognitive based and non-interactive, students are able to go upto knows how level