Chandragirish S

Abstract

Background: From last few decades there are many changes are taking place in the field of medical education moving from traditional method to more towards online/ e-learning method using internet. The advent of electronic devices like mobile, i- pad, laptops and explosion of social media technology provides opportunities for learners to create their own personalised learning experience. Objective: To asses the effectiveness of online learning in Anatomy among first MBBS students during COVID-19. Materials and Methods: A Cross sectional study was conducted among 120 MBBS First year medical students for a period of 6 months (May 2020 to November 2020) at Chamarajanagara Institute of Medical Sciences, Chamarajanagara. Informed consent was obtained from all the students prior to the start of the study. The online classes were conducted due to covid-19 lockdown in our institution from May 2020 as per the guidelines from RGUHS. Results: In the study majority of students had concentration time of 30 min (71.7%), majority of them opined that there as moderate disturbance during online class (53.3%), majority of them opined that they had moderate internet or network issues (53.3%), majority of them used mobile phone for online class (70%). In the study overall effectiveness of online teaching in anatomy among 1 year students was 61.7% and 38.3% opined that it was not effective. Conclusion: The study concludes that online classes were not so effective as students encountered lot of technical problems, reduced attention span, low motivation and lesser understanding in the concepts of subject thought. Keywords : Anatomy, Online learning, Internet, Medical students, Offline.

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Abstract

Introduction: Pain relief after Operation is one of the most common growing concern for an anesthesiologist as an uneventful postoperative period makes surgery a comfortable proposition for surgical patients. Perkins and co-workers provided an insight into the reality that poorly managed acute pain like postoperative pain can lead to the occurrence of chronic pain. Objective: To compare the effect, onset and degree of sensory and motor blockade of using Hyperbaric Bupivacaine Hydrochloride of 0.5% with clonidine along with dexmedetomidine. Materials and Methods: A Comparative study was carried out by the Department of Anesthesiology, G. R. Medical College and J. A. Group of Hospitals, Gwalior (M.P.). This study was done on 120 patients who were undergoing lower limb surgery belonging to either sex with age group 18-60 years. 40 Patients were allocated into different groups by randomization technique. Results: The time of onset of sensory blockade was found to be Quicker in Group 2 & 3 when compared with Group 1 where the time was 5.78 ± 0.97 mins, 2.88 ± 0.85 mins and 2.90 ± 0.81 mins in Group 1, Group 2 and Group 3 respectively.The Onset of motor blockade was found to be earlier in Group 2 & 3 as compared to Group 1 i.e. 8.38 ± 1.25 mins in Group 1, 5.28 ± 0.64 mins in Group 2 & 5.38 ± 0.63 in Group 3. Conclusion: From the study we concluded that there is no additional benefits by adding either clonidine or dexmedetomidine to hyperbaric bupivacaine resulted in increasing the action of sensory and motor blockade. Keywords: Pain, Clonidine, Subarachnoid block, Sensory block, Motor block.

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