International Journal of Medical Sciences and Education (IJMSE)
Vol. 7 Issue: 2 (March-April 2020), Date of Publication: 01.05.2020

Table of Contents
     Editorial

1.    Evaluation of Student’s Performance And Experience After Undergoing Lecture Based Learning And
​       Case Based Learning In An Integrated Session of The II MBBS Curriculum                                               1-6
       Dr. N. Kannan, Dr. D. Sudha                                                                                                         PDF FULL TEXT

ABSTRACT

Background: Integrated sessions are traditionally followed in our medical schools as a combination of lectures from subject experts at the same time. Students get to listen to the same lectures heard over the years in a single session and are left dry to integrate them by themselves. Case-based learning gives the facilitators’ liberty to include different methods of learning and can be an inquisitive tool to facilitate and teach students about integration at various levels. In this premise, we would like to see the difference in student’s performance and experience regarding these two modalities of learning. Aim: To assess student’s performance and experience in lecture-based learning of an integrated session in II MBBS curriculum and case-based learning of an integrated session in II MBBS curriculum and compare between these two groups. Materials and methods: 140 students undergoing II MBBS in MAPIMS was involved in the study. Group 1: (LBL) The first topic was discussed in traditional format (Lecture Based) for two Saturdays during which Pretest, Posttest and Feedback Questionnaire was done. Group 2: (CBL) Second topic was discussed in Case-Based Learning (CBL) format for two Saturdays during which Pretest, Posttest and Feedback Questionnaire were done.  Test scores of students before and after sessions, Likert scale rating of experience by students were compared and statistically analyzed with an appropriate statistical tool like independent “t” test. Results: There was statistically significant (p< 0. 001) improved performance in case based learning sessions when compared to lecture based learning sessions. Conclusion: Case based learning stimulates the desire to learn, develop clinical reasoning, and build confidence among learners. So this system of learning can be used in addition to strengthening the teaching-learning methods through active learning.
Keywords: Lecture Based Learning, Case Based Learning

2.    A comparative study of Platelet-Rich Plasma Versus Hyaluronic Acid Injections for the  treatment
       of knee osteoarthritis                                                                                                                                       7-11
       Karamdeep Singh Kahal, KS Sandhu, Jaspreet Singh, Gurleen Kaur                                     PDF FULL TEXT

ABSTRACT

Background: Osteoarthritis (OA) is an age-related condition that will bring about pain and reduce the capacity to work in about half the population. The aim of this study was to evaluate the benefit provided by PRP to treat early stages of joint degeneration in comparison with another injective treatment: Hyaluronic acid (HA). Materials and methods: The patients presenting to Orthopaedic OPD were enrolled after satisfying inclusion criteria. Patients were divided into 2 different treatment groups: those receiving 3 weekly intra-articular injections of PRP versus those receiving high-molecular-weight HA 3 weekly administrations. Patients were prospectively evaluated on 1st day in OPD and subsequently at follow-up on 2, 6, and 10 months after the last injection. The evaluation was done by assessing various scores like the International Knee Documentation Committee (IKDC) subjective measure score, Knee injury, and osteoarthritis outcome score (KOOS), visual analog scale (VAS). Results: A total of 50 patients were enrolled in the study. 25 patients were put in group A and received PRP. Another 25 patients were put in Group B and received HA injections. Both the groups were matched for age, sex, and grade of Osteoarthritis knee. A statistically significant improvement in the various clinical scores in both groups was documented. Conclusions: This study shows that leukocyte-rich PRP offers a modest clinical benefit at short term. Both treatments were effective in improving knee functional status and symptoms over time. PRP did not show significant improvement in symptoms as compared to HA.
Keywords: Platelet Rich Plasma, Hyaluronic Acid, Osteoarthritis

3.    A COMPARATIVE STUDY OF RESULTS OF CLOSE LATERAL PERCUTANEOUS PIN FIXATION V/S
       CROSS PERCUTANEOUS PIN FIXATION IN SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN                                                                                                                                                                                    12-16
       Dr. Sunil Kumar Rawat, Dr Sanjeev Kansotiya, Dr. Avtar Singh Balawat                               PDF FULL TEXT

ABSTRACT

Background: Supracondylar fractures of the humerus are the commonest injury around the elbow in the children accounting for 60% of all the fractures around the elbow in children. This study was conducted to evaluate the efficacy of close reduction and percutaneous pin fixation by lateral entry pin and crossed pin method and to compare any significant difference exist between losses of reduction by these two methods. Material and Methods - This study was done prospectively on the patients having a supracondylar fracture of the humerus with an average follow up 6 months. Patients were divided into two categories in the first category all 25 patients were managed by a cross percutaneous pin fixation method & while in the second category all 25 patients managed by lateral percutaneous pin fixation method with K wires. Final Functional Assessment was done according to the criteria laid down by Flynn. Results- In the lateral pin fixation group the overall results were satisfactory in 91.6% cases and the cross pin fixation group the overall results were satisfactory in 95.8% cases. Conclusion- We conclude that the lateral pin fixation method is as good as a cross pin fixation method while considering the biomechanical stability of construct, but it does not carry the risk of iatrogenic ulnar nerve injury.
Keywords: Supracondylar fractures, humerus, injury, children, lateral entry pin, fixation.