Browsing by Author "Joshi, Mohan"
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Item Giant lobulated seborrheic keratosis at an unusual site.(2003-01-19) Phiske, Meghana; Mamidwar, Sudhir; Dhurat, Rachita; Jerajani, H R; Randive, Nilima; Joshi, MohanSeborrheic Keratoses(SK) are common benign skin tumors of elderly occurring commonly on face, scalp, extremities, chest, back with genital and perianal sites being rare. Lesions are usually few millimeters to several centimeters, reaching pendulous proportions in areas of constant friction, especially in obese individuals. Though malignant transformation is rare, it is reported in irritated lesions, especially in flexures. An unusual case of giant lobulated seborrheic keratoses occurring in perianal area, without any evidence of malignancy on histopathology, in an otherwise healthy obese female is reported here.Item Innovative Integrated Teaching for MBBS Undergraduates.(South East Asia Regional Association for Medical Education., 2013-12) Nagdeo, Neena; Manohar, Tanuja; Kawthalkar, Anjali; Joshi, MohanMedical colleges in India follow a curriculum with a large body of knowledge pertaining to basic sciences and clinical disciplines. Use of innovative techniques in teaching has certain advantages which include increasing teacher and learner enthusiasm and improving participation of the students. We combined the use of pre-/post-test in vertical integrated teaching to increase the effectiveness of the teaching process. An innovative vertical integrated teaching session was carried out for final MBBS students. A total of 35 students participated. A pre-test questionnaire was given to all the students to identify basic knowledge about the subject (HIV). Then the faculty conducted sessions on HIV, followed by a post-test questionnaire. This study revealed that students have improved their knowledge by the new teaching-learning method. The students were enthusiastic towards the new teaching-learning method. The faculty showed enthusiasm towards this new approach but were of the opinion that this method could be applicable only to selected topics. The teachers agreed that immediate feedback can be obtained from the students regarding acquisition of knowledge.Item Modified Hassabs Procedure for control of Esophageal Varices in Portal Hypertension - A Prospective Study.(2016-09) Gadahire, Minakshi; Joshi, Mohan; Chandak, MahendraBackground: Modified Hassab’s surgery is one of the Devascularisation procedure for controlling hemetemesis due to oesophageal varices. It has less chances of encephalopathy and mortality. We have studied 20 patients of oesophageal varices with portal hypertension and operated for Modified Hassabs Procedure. Aim: To determine the efficacy of Modified Hassab’s procedure for portal hypertension, due to causes other than Schistosomiasis, to determine the short term outcome and long term follow up of patients treated with this procedure regarding oesophageal varices, rebleeding, liver function, ascitis, encephalopathy and mortality following Modified Hassab’s procedure. Methods: This study was conducted at a single teaching hospital in Mumbai over a period of six years. 20 patients were studied for immediate and long term complications. Results: Oesophageal varices resolved in 11 patients (55%), regressed in 7 patients (35%), Fundic varices completely resolved in all the 4 patients. There was rebleed in two patients and was treated by sclerotherapy. There was no encephalopathy or mortality. Conclusion: We conclude that Hassabs Procedure is effective, and good control of varices can be achieved in portal hypertension patients due to Portal Vein Thrombosis and Portal Cavernoma, Cirrhosis of liver, Non Cirrhotic Portal Fibrosis.Item A Prospective Study to Evaluate Efficacy & Safety of HBOT in Acute Traumatic Brain Injury.(2017-01) Phad, Bankat; Gadahire, Minakshi; Joshi, MohanBackground: The purpose of this study was to test the effectiveness and safety of Hyperbaric Oxygen HBOT group (HBOT) in improving brain function in Traumatic brain injury patients suffering acute neurocognitive impairments. Aims: To study efficacy & safety of hyperbaric oxygen HBOT group on mortality and morbidity in acute traumatic brain injury with respect to degree of recovery, speed of recovery, length of stay in the hospital. Methods: In this prospective study we present 100 cases of head injuries. Patients were included in the study according to inclusion criteria. Fifty of them assigned to the control group and 50 to the HBO treatment group. Allocation is done by chit method in control and HBOT group. Glasgow coma score was obtained pre HBOT and post HBOT. The outcome was assessed by two blinded independent examiners. Results: All patients were assessed for improvement in GCS score. The average improvement in GCS score was 5.29% and 3.87% in HBOT and control group respectively. Similarly the average hospital stay was 12.26% days in the HBOT and 27% in the control group. Conclusion: Hence we would like to conclude that, HBOT is safe and effective for acute brain injury.Item Use of mini-cex as an effective tool of assessment in second B.A.M.S. students in rognidan.(2013-09) Deshpande, Manjiri Sadanand; Joshi, MohanBackground and Objectives: Mini-CEX method of assessment is widely accepted method which includes structured assessment of an observed clinical encounter, provides feedback to the student on skills essential to the provision of good clinical care, and improves the competencies expected & the confidence level of the student. There has been limited or negligible research in this area in the field of Faculty of Ayurved. Methodology: 45 students from 2nd BAMS students were included in the study. The standard nine point scale format was adopted for rating the students. Each student was assessed twice on real patients, with low or moderate complexity level. The cases were not repeated for the successive encounter. Each student was rated for the competencies; the time required for observation & providing feedback, the evaluators’ & trainees’ satisfaction using mini-CEX were noted. Feedback was obtained from the trainees after completing the entire task. Results: Total 81 encounters with 44 students against a planned figure of 90 were recorded giving a completion rate of 90%. The mean observation time was 22 minutes & feedback time was 08 minutes. The scores in medical interviewing, physical examination, communication & professional qualities, counselling skills, clinical judgement, organisation efficiency & overall clinical performance (p< 0.0001, paired t-test) show statistically significant change in the successive encounter. The satisfaction level of the students and the assessors achieved high score with the mean of 7.7/8.1 and 8.3/8.1 respectively. Feedback analysis from the faculty & trainees is as follows: Average 40% trainees were felt anxious being observed. The method helped the students to: be more attentive & regular in clinical postings, achieve the confidence level, improve interpersonal skills, & to analyse strengths and weak areas of the students. Conclusions: The mini-CEX is an effective tool of assessment in second B.A.M.S. students in Rognidan to improve the expected competencies in case presentation skills with confidence.