Browsing by Author "Bhattacharyya, S."

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    Leena Biswas, Ananya Mandal, Suman Chattopadhyay, Arijit Ghosh, Supreeti Biswas, Subhradipta Bhattacharyya
    (?Eldaghayes Publisher, 2024-12) Biswas, L; Mandal, A; Chattopadhyay, S; Ghosh, A; Biswas, S; Bhattacharyya, S.
    Background: Metered dose inhalers (MDI) remain the mainstay of drug delivery in patients with bronchial asthma and other respiratory diseases for the last few decades. India has an estimated 15–20 million asthmatics; rough estimates indicate a prevalence of between 10% and 15% in 5–11 years old children. Its advantages include better adherence and safety profile with improved efficacy. However, imperfect inhaler use technique worsens health outcomes with poor disease control. Communication and demonstration skills of health care professionals are thus vital parts of asthma therapy while educating patients regarding MDI use. The use of different devices has been included in Phase II of CBME Curriculum. Hence, communication and demonstration skills need to be learnt by all Indian medical graduates. Thus, a study was planned to assess communication and demonstration skills regarding MDI use of phase II MBBS students. Aim: To evaluate and analyze the communication and demonstration skills on the use of MDI among Phase-II MBBS students of a Medical College in Kolkata. Methods: A total of 243 second year MBBS students participated in the study. They were asked to demonstrate the correct technique of use of an MDI along with suitable communication with the interviewer who posed as a patient. The assessment of their demonstration and communication skills was done on the basis of scores obtained on a pre- validated and tested checklist. For the assessment of skills, a single interviewer was appointed to avoid inter-individual bias. Students were categorized according to performance into excellent (>75% scores), good (60%–74%), fair (50%– 59%), and fail (<49%) which was further classified into poor (49%–35%), and very poor (<35%). Results: Average scores obtained by the students were 59.2% ± 28.99% and 91% ± 11.64% in communication and demonstration skills, respectively. Students performed significantly better with demonstration compared to communication skills (p < 0.001; Unpaired t test). During the demonstration, quite a significant number of students missed stating the steps involving deep and steady breathing to the dummy patient. As per the results of communication skills, 32.9%, 13.9%, and 13.9% of students were in excellent, good, and fair categories, respectively. As per results of demonstration skills, 95.47%, 2.8%, and 1.23% of students were in excellent, good, and fair categories, respectively. Only 1 student failed in the demonstration. However, 95 students failed in communication out of which 13.58% and 25.5% scored poor was very poor, respectively. Conclusion: The study concludes that phase II medical students in this college were well versed with the steps and technique of using the MDI as seen from the high scores of demonstration skills. However, they seem to be lacking in adequate communication skills while explaining the technique to a patient. Hence, there is a need for more training regarding communication skills.
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    Orientation and application of gamification as teaching learning method by medical physiologists in India
    (?Eldaghayes Publisher, 2024-06) Banerjee, B; Chaudhuri, G; Samashaptak; Bhattacharyya, S.
    Background: Gamification, the integration of game elements into non-gaming contexts, has gained significant attention in education, including medical education. Researches revealed that gamification elements such as points, badges, levels, and feedback are commonly used in higher education. Gamification is seen as a tool that can help millennial and Gen Z students, who prefer social learning ecosystems, in competency development and contextual learning. A review of gamification-based learning tools in both preclinical and clinical settings highlighted heightened student engagement and superior educational outcomes, but competitive gamification yielded unexpected results, with students spending limited time and resisting competitiveness. Aims and Objectives: This paper presents a cross-sectional study conducted in India to assess the orientation and application of gamification among faculty members of Medical Physiology. The study aimed to identify the advantages, challenges, and potential of gamification in enhancing the quality of medical education in India. Materials and Methods: The authors addressed the deficiency in the orientation and application of gamification tools in medical education by conducting a questionnaire-based cross-sectional study among medical physiologists in various Indian institutions and colleges. Results: Results showed that approximately 25% of the faculty members surveyed in India were oriented toward gamification, with slightly more orientation among junior faculties and those from northern India. There were regional variations in the use of specific gamification elements, such as points and badges, letterboards, and storyline elements. Conclusion: The study highlighted a promising trend of gamification adoption among medical physiologists, while also noting that a significant portion of faculty members remained unoriented and had yet to explore the benefits of gamification in medical education. The paper emphasized the need for proactive promotion and application of gamification tools to enhance teaching and learning methods in medical education.
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    A rare presentation of jejunal GIST: A case report
    (Mansa STM Publishers, 2024-01) Kalita, P; Gupta, A; Sengupta, P; Bhattacharyya, S.
    Gastrointestinal stromal tumors (GISTs) are rare tumors that constitute 1% of all GI tract tumors. Jejunal GISTs are the rarest subtype. We present a middle-aged gentleman, who presented with pain in the right lower abdomen. On abdominal examination, a lump was palpable in the right iliac fossa (RIF). Contrast-enhanced computed tomography of the abdomen revealed an extraluminal soft-tissue mass in the ileum. Computed Tomography-guided core needle biopsy from the lump was consistent with GIST, which was confirmed on immunohistochemistry. Mutation analysis revealed exon 11 mutations. Due to the proximity of GIST to the rectum and urinary bladder, the patient was started on imatinib therapy. After 3 months of treatment, imatinib therapy had to be stopped due to skin reactions. Restaging was done with a positron-emission tomography scan, which demonstrated a soft-tissue mass likely arising from the ileocecal region in the RIF abutting the ascending colon without any significant decrease in size. On exploration, a well-circumscribed mobile extraluminal lobulated mass was seen arising from the antimesenteric border of the jejunum. Histopathologic examination showed GIST, which was confirmed on immunohistochemistry. We report this case to emphasize keeping small bowel GIST as an unusual differential diagnosis of a RIF lump. Furthermore, not all patients can tolerate imatinib treatment, hence exon mutation study is important, and surgery should be considered if it is deemed resectable.
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    A study on cardiovascular parameters in athlete and non-athlete adult males
    (Mrs Dipika Charan of MedScience (India) Publications, 2022-02) Banerjee, B; Bhattacharyya, S.
    Background: An old proverb teaches us “Good things come to those who sweat.” Apart from its philosophical and metaphysical meaning, it is also true by words. Many previous studies also supported this view, but study in the rural part of Bengal in this field had hardly been undertaken before. Aim and Objectives: The objective of the study was to find any difference in cardiovascular parameters, for example, arterial blood pressure, heart rate; to compare the body mass index (BMI), skin fold thickness among athletes and non-athlete adult male volunteers; and also to identify any difference in resting electrocardiogram (ECG) patterns between those two groups. Materials and Methods: The present article is a scientific validation of this statement. In technical terms, this is an institutional ethics committee certified case-control study conducted in Burdwan and Birbhum districts of West Bengal with 75 non-athlete people and 75 athletes. Results: With the help of modern diagnostic tools and rigorous statistical methods, it was found that there are significant differences (P < 0.00001) between these two groups in terms of waist circumference, abdominal skin fold thickness, BMI, diastolic blood pressure (BP), and left ventricular hypertrophy by ECG. From existing medical knowledge-base, this finding can immediately be interpreted as having higher risk factors of coronary heart diseases for non-athlete people. Conclusion: Based on these findings, authors recommended that a sedentary lifestyle should be avoided to get rid of hypertension and obesity and stay away from fatal coronary heart diseases. Regular Physical activity and healthy diet can help us to live a long and disease-free life. This article speaks nothing new and surprising but confirms an age-old truth with modern scientific experiments, methods, and techniques which is a need of the hour.