Asian Journal of Pharmaceutical Research and Health Care

M. R. Suchitra ¹, S. Vadivel ², M. Balasubramanian ³, S. Parthasarathy ⁴

Affiliations
1 SASTRA University (SRC), Kumbakonam, Thanjavur - 612001, Tamil Nadu, IN
2 Department of Geography, Govt. College for Men, (Arts – Autonomous), Kumbakonam, Thanjavur - 612001, Tamil Nadu, IN
3 Department of Geography, Govt College for Men, (Arts – Autonomous), Kumbakonam, Thanjavur - 612001, Tamil Nadu, IN
4 Department of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute, Puducherry, IN

Abstract

Hypertension is reported to be the fourth contributor to premature death in developed countries and the seventh in developing countries. Recent reports indicate that nearly 1 billion adults (more than a quarter of the world’s population) had hypertension in 2000, and this is predicted to increase to 1.56 billion by 2025. The main aim of the study is to find out the level of knowledge of nutritional therapy in hypertension among college teachers through a structured questionnaire and to impart the necessary awareness about the same. This study was based on questionnaire survey by scientifically tested random sampling procedure. The necessary approval for the study was obtained from the academic committee of the Government Arts College for men (autonomous). As the study is a simple questionnaire one, there are no ethical issues. The information was collected from 911 teachers working in colleges and higher institutions. The collected data were entered and analyzed with the help of SPSS software. Statistical tests included simple frequency, percentage and Pearson Correlation techniques which were performed for the collected data. This present study demonstrates that the majority of the respondents were aged either between 31-40 and 41-50 years. 47.4 per cent and 36.6 per cent of male and female were having hypertension respectively which is higher than the general population. According to the ‘Suchitra’s grading’ of nutrition awareness, the level of knowledge in hypertension, 24.1 percent of the respondents are grade I, 26.5 percent grade II, 22.9 percent grade III and 26.5 percent grade IV. Its clear that college teachers lack awareness about nutrition in hypertension. The teachers who suffer from the disease i.e. hypertension had better awareness.

Keywords

Awareness, Hypertension, Nutrition, Teachers.

Full Text

   

Balasubramanian Anusha ¹, G. Jayaraman ², S. Parthasarathy ¹

Affiliations
1 Department of Anaesthesiology and Critical care, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam – 607402, Puducherry, IN
2 Department of Radiodiagnosis, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam – 607402, Puducherry

Abstract

The axillary approach to brachial plexus blockade provides satisfactory anesthesia for elbow, forearm, and hand surgeries. The use of ultrasound enhances the success of such blocks. The major issue in such a block is the anatomical variation of the musculocutaneous nerve and its possible sparing. The unblocked lateral superficial tissues of forearm and the problem of tourniquet pain will come up if it’s spared. Hence in our study we wanted to locate the site of separation of the nerve. In eighty young healthy male volunteers, the scan of the right axillary area showed that the separation was proximal (point C) in 34% of cases to the classical described site (point A) of combined visualisation of conjoint tendon and axillary artery. It was found separating distally (point B) in 59 % of cases. The distance was maximal in the proximal group with 44 mm and in the distal group of 35 mm. It was absent in one individual. With such a large variation in anatomy, it is necessary to identify the musculocutaneous nerve separately and block it for a successful anesthetic journey in axillary approach to blocking brachial plexus.

Keywords

Anatomy, Axillary, Brachial Plexus, Musculocutaneous Nerve.

Full Text

   

K. J. Krishna Priyanka ¹, S. Balachandar ², S. Parthasarathy ³

Affiliations
1 Postgraduate Student, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, IN
2 Assistant Professor, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Karaikkal, Puducherry − 609602, IN
3 Professor, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, IN

Abstract

Regional anaesthesia is emerging either as a sole anaesthetic technique or as an adjunct to general anaesthesia in different surgical conditions. With increasing incidence of systemic illnesses coming for operative procedures, the value of addition of nerve blocks to a routine anaesthetic technique assumes more significance in terms of decreasing morbidity. Usually, the anaesthesiologists are familiar with abdominal, chest and extremity blocks. As ultrasound is not friendly with head and face with bony prominences, the progress in this field is further hampered. In this narrative review, we will try to elaborate on a few useful nerve blocks of the head and face, the importance of ultrasound in viewing those nerves in the bony gaps will be discussed. The use of such techniques as either a perioperative analgesic or as an independent anaesthetic method along with the precautions to be followed in their administration will be highlighted.

Keywords

Anaesthesia, Face, Head, Nerve Blocks, Regional.

Full Text

   

R. Sobana ¹, K. Jaiganesh ², S. Parthasarathy ³, Tan Kee Seng Patric ⁴, Sunitha Paripelli ⁵, Dharmaraj ⁶, Pandian Panneerselvam ⁶

Affiliations
1 Associate Professor, Department of Physiology, AIMST University, 08100 Bedong, Kedah, MY
2 Professor, Department of Physiology, AIMST University, 08100 Bedong, Kedah, MY
3 Professor, Department of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam − 607402, Pondicherry, IN
4 Director, Clinical Skills Centre, AIMST University, 08100 Bedong, Kedah, MY
5 Sr. Lecturer, Department of Physiology, AIMST University, 08100 Bedong, Kedah, MY
6 Tutor, Clinical Skills Centre, AIMST University, 08100 Bedong, Kedah, Malaysia, MY

Abstract

Communication skills can be taught effectively by role play which is a form of peer teaching. To engage large group of learners in a role play session is a challenge. Group of students can be assigned as observers, since learning is also possible by active observation. One hundred and forty-eight medical students were randomly grouped as performers or observers. Role play by performers on essentials of “Doctor patient communication” was observed and rated by experts. This was with regard to only history taking of the respiratory system. The learning outcome of performer/observers of the role play session was evaluated based on the OSCE score (1-4 core elements of Kalamazoo essential elements of communication). A subjective feedback on the satisfaction and confidence was sought after in students of both the groups. Effective learning and subjective impact obtained by both group of learners, as indicated by the equal mean OSCE (student t test p≤0.00), feedback score on self-satisfaction and confidence level. We conclude that either performance as role play or observation of the same among medical students produced similar communication skills with regard to taking history concerning the respiratory system.

Keywords

Active Observers, Medical Communication Skills, Role Play, Teaching.

Full Text